Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma
We present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspici...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-01-01
|
| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442016302078 |
| _version_ | 1811232627003228160 |
|---|---|
| author | Hailiu Yang Robert D. Brown John Chovanes Allen D. Seftel |
| author_facet | Hailiu Yang Robert D. Brown John Chovanes Allen D. Seftel |
| author_sort | Hailiu Yang |
| collection | DOAJ |
| description | We present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspicion in this circumstance and consider immediate exploration of all the injured areas. We also demonstrate the use of a dartos fascia interposition flap to cover and separate the concomitant urethral and corporal sutures lines. Our dartos flap bolstered the urethral and cavernosal repairs and helped prevent postoperative corporourethral fistula formation. |
| first_indexed | 2024-04-12T11:06:05Z |
| format | Article |
| id | doaj.art-e1b0131a8eda4eb0a355b59ab91f7985 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-04-12T11:06:05Z |
| publishDate | 2017-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-e1b0131a8eda4eb0a355b59ab91f79852022-12-22T03:35:45ZengElsevierUrology Case Reports2214-44202017-01-0110C363710.1016/j.eucr.2016.11.015Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral TraumaHailiu Yang0Robert D. Brown1John Chovanes2Allen D. Seftel3Division of Urology, Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, USADivision of Urology, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USADivision of Trauma, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USADivision of Urology, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USAWe present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspicion in this circumstance and consider immediate exploration of all the injured areas. We also demonstrate the use of a dartos fascia interposition flap to cover and separate the concomitant urethral and corporal sutures lines. Our dartos flap bolstered the urethral and cavernosal repairs and helped prevent postoperative corporourethral fistula formation.http://www.sciencedirect.com/science/article/pii/S2214442016302078Dartos interposition flapPenetrating penile injuryGunshot woundPenetrating urethral injury |
| spellingShingle | Hailiu Yang Robert D. Brown John Chovanes Allen D. Seftel Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma Urology Case Reports Dartos interposition flap Penetrating penile injury Gunshot wound Penetrating urethral injury |
| title | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
| title_full | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
| title_fullStr | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
| title_full_unstemmed | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
| title_short | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
| title_sort | dartos fascia interposition flap for penetrating cavernosal and urethral trauma |
| topic | Dartos interposition flap Penetrating penile injury Gunshot wound Penetrating urethral injury |
| url | http://www.sciencedirect.com/science/article/pii/S2214442016302078 |
| work_keys_str_mv | AT hailiuyang dartosfasciainterpositionflapforpenetratingcavernosalandurethraltrauma AT robertdbrown dartosfasciainterpositionflapforpenetratingcavernosalandurethraltrauma AT johnchovanes dartosfasciainterpositionflapforpenetratingcavernosalandurethraltrauma AT allendseftel dartosfasciainterpositionflapforpenetratingcavernosalandurethraltrauma |