STAGED URETHROPLASTY FOLLOWING SEVERE ELECTRIC BURNS TO PERINEUM AND GENITALIA: A CASE REPORT
##plugins.themes.bootstrap3.article.main##
##plugins.themes.bootstrap3.article.sidebar##
Abstract
Objective: This study aims to know the surgical treatment of electrical injuries, perineum, and scrotum. Case(s) Presentation: A 55-year-old male sustained electric burns to the back, perineum and scrotum. The patient failed to void following removal of the catheter 6 weeks later, hence the patient was referred to the urology department for further management. was counselled for a two-phase urethral surgery. Discussion: In our case, the patient had sustained perineal and scrotal burns when he sat over a live wire. This led to the loss of skin and soft tissues, needing massive musculoskeletal and skin grafts. Our patient underwent a number of revision surgeries leading to repeated scarring of the perineal tissues and skin. Conclusion: Electrical injuries to the perinium and genitalia are rare. Hence the surgical strategy of electrical injuries requires a step-wise approach. Initially, conservative debridement needs to performed so as to preserve any tissue of questionable viability and ensure subsequent adequate soft-tissue coverage. The reconstructive surgical procedures bring about satisfactory outcomes. Keywords: Electrical injury, perineum, scrotum, surgical strategy.
##plugins.themes.bootstrap3.article.details##
Electrical injury, perineum, scrotum, surgical strategy
Huang T. Management of burn injuries of the perinium. In: Total burn care, 3rd ed, Herndon DN (Eds). Saunders Elsevier. 2007. p 749.
Maguire S, Moynihan S, Mann M, et al. A systematic review of the features that indicate intentional scalds in children. Burns. 2008; 34: 1072.
Lee RC, Kolodney MS. Electrical injury mechanisms: dynamics of the thermal response. Plast Reconstr Surg. 1987; 80: 663–71.
Azzena B, Tiengo C, Salviati A, Mazzoleni F. Combined use of free and pedicled skin flaps for the reconstruction of extremities in high voltage electrical injury. Burns. 2007; 33: 382– 6.
Landecker A, Macieira L. Penile and upper extremity amputation following high-voltage electrical trauma: case report. Burns. 2002; 28: 806–10.
Medendorp AR, Albrecht MC, Morey AF. Natural history of extensive, full-thickness electrical burns involving the penis. Urology. 2007; 70: 588–9.
Tiengo C, Castagnetti M, Garolla A, et al. High-Voltage Electrical Burn of the Genitalia, Perineum, and Upper Extremities: The Importance of a Multidisciplinary Approach. J Burn Care Res. 2011; 32: e168–e171.