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Goldman C, Shaw N, du Plessis D, et al. Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings. Transl Androl Urol. 2021;10(6):2596-2608doi: 10.21037/tau-20-1175.
Goldman, C., Shaw, N., du Plessis, D., Myers, J. B., van der Merwe, A., & Venkatesan, K. (2021). Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings. Translational andrology and urology, 10(6), 2596-2608. https://doi.org/10.21037/tau-20-1175
Goldman, Charlotte, et al. "Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings." Translational andrology and urology vol. 10,6 (2021): 2596-2608. doi: https://doi.org/10.21037/tau-20-1175
Goldman C, Shaw N, du Plessis D, Myers JB, van der Merwe A, Venkatesan K. Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings. Transl Androl Urol. 2021 Jun;10(6):2596-2608. doi: 10.21037/tau-20-1175. PMID: 34295746; PMCID: PMC8261456.
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Transl Androl Urol. 2021 Jun;10(6):2596-2608. doi: 10.21037/tau-20-1175.

Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings.

Translational andrology and urology

Charlotte Goldman, Nathan Shaw, Danelo du Plessis, Jeremy B Myers, Andre van der Merwe, Krishnan Venkatesan

Affiliations

  1. Georgetown University School of Medicine, Department of Urology, Washington, DC, USA.
  2. Division of Urology, Department of Surgical Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa.
  3. Division of Urology, Department of Surgery, University of Utah, Salt Lake City, UT, USA.
  4. MedStar Washington Hospital Center, Department of Urology, Washington, DC, USA.

PMID: 34295746 PMCID: PMC8261456 DOI: 10.21037/tau-20-1175

Abstract

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).

2021 Translational Andrology and Urology. All rights reserved.

Keywords: Genital trauma; ballistic trauma; genitalia; gunshot wounds (GSW); urologic trauma

Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tau-20-1175). The series “Controversies and Considerations of Penile Surger

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