Prompt surgical exploration and repair is needed.
Evaluate for concomitant urethral injury.
Ventral vertical penoscrotal incision is usually preferred.
Close the tunical defect.
Interrupted 2-0 or 3-0 absorbable sutures is advised.
Deep Penile Electrical Burns
Autopenectomy and/or death as a result of extensive concurrent injuries may happen.
Traumatic Penile Amputation
Prompt penile replantation
Penetrating Scrotal Injuries
Prompt surgical exploration with repair is needed.
Perform orchiectomy if non-salvageable.
Perform scrotal exploration and debridement with tunical closure.
Perform orchiectomy if non-salvagable.
Extensive Genital Skin Loss or Injury
From infection, shearing injuries, or burns.
Limited debridement of non-viable tissue.
Tissues with marginal viability may survive due to collateral blood flow.
Multiple procedures in the operating room are needed.
Wound management options are:
Silver sulfadiazine or topical antibiotic and occlusive dressing
Early suprapubic urinary diversion
Early resection of burn eschar and coverage with split-thickness skin grafts when possible.
Partial-thickness skin loss may be treated with silver sulfadiazine cream.