Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma

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• 作者：Hailiu Yang^a ; ^{yang-hailiu@cooperhealth.edu} ; Robert D. Brown^b ; John Chovanes^c ; Allen D. Seftel^b
• 关键词：Dartos interposition flap ; Penetrating penile injury ; Gunshot wound ; Penetrating urethral injury
• 刊名：Urology Case Reports
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：10
• 期：Complete
• 页码：36-37
• 全文大小：432 K
• 卷排序：10

文摘

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.