TY  - JOUR
PY  - 1998//
TI  - Burns to the genitalia and the perineum
JO  - Journal of urology
A1  - Michielsen, D.
A1  - Van Hee, R.
A1  - Neetens, C.
A1  - Lafaire, C.
A1  - Peeters, R.
SP  - 418
EP  - 419
VL  - 159
IS  - 2
N2  - PURPOSE: We conducted a study to determine the treatment of perineal and genital burns, the results of therapy and the complications of such burns. MATERIALS AND METHODS: A review of the records of 4,216 patients treated between 1981 and 1995 at the Burn Center of the Academic Surgical Center Stuivenberg, revealed 87 male and 30 female patients, 6 months to 86 years old who had associated burns to the perineum or genitalia. Mean burn size was 21% of the total body surface area. Causes of burn injury were scald in 55% of the cases, flame in 24%, chemical in 16% and others in 4%. RESULTS: There were 16 deaths in this group (13.6%) but none was related to the perineal or genital burns. Of the 101 survivors 41% required Foley catheters but the catheters were indwelling during resuscitation only (range 1 to 99 days). Perineal and genital burns were treated by topical antimicrobials. Only 10 patients (9.9%) required split-thickness skin grafts. As late complication 2 patients had scar formation of the penile shaft, which was treated with multiple Z-plasties, and of the prepuce, which was treated by circumcision, respectively. In 1 patient, who presented with erectile dysfunction diagnostic evaluation was negative. CONCLUSIONS: Conservative management of perineal and genital burns is recommended.<p /> <p>Language: en</p>
LA  - en
SN  - 0022-5347
UR  - http://dx.doi.org/
ID  - ref1
ER  -