ISSN 2398-2950      

Penis: trauma

ffelis

Introduction

  • Uncommon.
  • Cause: hit by car (HBC), ballistic impacts, bite wounds, malicious intervention (occasionally).
  • Signs: severe hemorrhage, urethral obstruction, dysuria.
  • Treatment: simple repair with sutures to penile amputation Penis: amputation depending on severity.

Pathogenesis

Etiology

  • HBC, ballistic impacts, bite wounds, malicious intervention (occasionally), blunt trauma.

Pathophysiology

  • Acute trauma by whatever cause lacerates and damages tissue causing hemorrhage which may be profuse and may result in loss of the continuity of the urethra. This causes urine to pass into the penile parenchyma where it adds to tissue necrosis.
  • Penile trauma and lacerations involving cavernous tissue result in severe hemorrhage.
  • More chronic injuries may cause urethral obstruction and dysuria.
  • Crush injuries may result in laceration of cavernous tissue.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Corgozhino K B, de Souza H J, Pereira A N et al (2007) Catheter-induced urethral trauma in cats with urethral obstruction. J Fel Med Surg (6), 481-486 PubMed.
  • Degner D A & Walshaw R (1996) Healing responses of the lower urinary tract. Vet Clin North Am Small Anim Pract 26 (2), 197-206 PubMed.
  • Lees G F (1996) Use of misuse of indwelling urethral catheters. Vet Clin North Am Small Anim Pract 26 (3), 499-505 PubMed.

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