TY - JOUR PY - 2021// TI - Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings JO - Translational andrology and urology A1 - Goldman, Charlotte A1 - Shaw, Nathan A1 - du Plessis, Danelo A1 - Myers, Jeremy B. A1 - van der Merwe, Andre A1 - Venkatesan, Krishnan SP - 2596 EP - 2608 VL - 10 IS - 6 N2 - Gunshot wounds (GSW) to the penis and scrotum are present in two thirds of all genitourinary (GU) trauma, with a growing proportion of blast injuries in the military setting. Depending on the energy of the projectile, the injury patterns present differently for military and civilian GSWs. In this review, we sought to provide a detailed overview of GSWs to the external genitalia, from mechanisms to management. We examine how ballistic injury impacts tissues, as well as the types of injuries that occur, and how to assess these injuries to the external genitalia. If there is concern for injury to the deep structures of the penis or scrotum, operative exploration and repair is warranted. Relevant history and physical examination, role of imaging, and choice of conservative or surgical treatment options in the civilian and military setting are discussed, as well as guidelines for management set forth by the American Urological Association (AUA) and European Association of Urology (EAU).
Language: en
LA - en SN - 2223-4683 UR - http://dx.doi.org/10.21037/tau-20-1175 ID - ref1 ER -