"Extensive Trauma of Male External Genitalia in Children: A Case Report "

The trauma with grinding of the external genitalia is a urological emergency. Management is surgical (trimming, orchidopexy, orchiectomy). Male genital lesions, while rarely life threatening, require prompt and appropriate management to prevent long-term sexual and psychological damage. The management of these lesions is a challenge for the urologist. It is medicolegal and in the child a consent must be given by the family before the treatment. Mr. K A, 10-year-old child, admitted to the Emergency Department of the Bocar S Sall Teaching Hospital in Kati for a road accident, resulting in trauma to the external genitalia. On examination, the general condition was satisfactory, the open scrotum showing the two testicles, the naked penis. The abdominopelvic ultrasound was normal. The radiograph of the pelvis had objectified fractures in the iliac bones. A trauma and ophthalmological opinion was requested. Informed consent was given to the family for possible erectile dysfunction and fertility disorders. We performed a suprapubic catheterization under triple antibiotherapy, trimming, bilateral orchidopexy. The evolution was marked by superinfection with tissue necrosis leading to the loss of the right testicle. We report an unusual case of trauma with external genitalia crushing in the child.