Abstract
Aim: Majority of childhood genital trauma are minor ones without any need to surgical treatment. In our study, it was aimed to assess post-treatment monitoring in the external genital trauma cases which are not associated with sexual abuse. Method: The 26 patients admitted to our clinics due to the external genital trauma between June 2012 and May 2015 were included in the study. The cases were examined based on gender, age, etiology and type of injury, injured organs, treatment approaches and outcomes. Results: The 15 of the cases were male (57.7 %) and 11 of them were female (42.3 %). The average age of the cases was determined as 7.76±4.32 years. The most frequently observed reason for the genital traumas in female individuals was to fall down as riding a horse whereas the most frequently observed reason for that in male cases was the ingrown foreign bodies. The vulva injury was observed mostly in female patients while the penis and scrotum injuries were seen in male patients. The most frequent genital organ injury type was detected as laceration in female individuals. On the other hand, the laceration and hematoma in the penis as well as scrotum were determined as the most frequently seen genital organ injury type in male individuals. The surgical treatment was not required in the 23.1 % of the cases. Only in two cases, organ loss was observed (i.e. orchiectomy). In the study, the duration of the hospital stay was approximately 3.09±3.2 days for male cases and 1.2±086 days for female cases. Conclusion: The genital traumas, which constitute the minority of childhood traumas, can be monitored by conservative methods whereas invasive methods are utilized for diagnosis. In particular, the post-treatment organ loss in boys with genital trauma is a serious aspect for the protection of genital organ functions
Keywords
References
- KAYNAKÇA
- Scheidler MG., Schultz BL., Schall L., Ford HR. Mechanisms of blunt perineal injury in female pediatric patients. J Pediatr Surg 2000;35(9):1317–9.
- Tarman GJ., Kaplan GW., Lerman SL., McAleer IM., Losasso BE. Lower genitourinary injury and pelvic fractures in pediatric patients. Urology 2002;59(1):123–6.
- Bertini JE Jr., Corriere JN Jr. The etiology and management of genital injuries. J Trauma 1988;28(8):1278-81.
- Galisteo Moya R., Noqueras Ocaña M., Tinaut Ranera FJ., de la Fuente Serrano A., Gutiérrez Tejero F., Ramírez Garrido F., Zuluaga Gómez A. External genital injuries during childhood. Arc Esp Urol 2002;55(7):813-8.
- Gabriel NM., Clayton M., Starling SP. Vaginal laceration as a result of bluntvehicular trauma. J Pediatr Adolesc Gynecol 2009;22(5):166-8.
- Husmann DA., Boone TB., Wilson WT. Management of low velocity gunshot wounds to the anterior urethra: The role of primary repair versus urinary diversion alone. J Urol 1993;150(1):70-2.
- Okur H., Küçükaydın M., Kazez A., Turan C., Bozkurt A. Genitourinary tract injuries in girls. Br J Urol 1996;78(3):446-9.
- Iqbal CW., Jrebi NY., Zielinski MD., Benavente-Chenhalls LA., Cullinane DC., Zietlow SP., Moir CR., Ishitani MB. Patterns of accidental trauma in young girls and indication for operative management. J Ped Surg 2010;45(5):930-3.
- Widni EE., Höllwarth ME., Saxena AK. Analysis of nonsexual injuries of the male genitals in children and adolescents. Acta Paediatr. 2011; 100(4):590–3.
- Spitzer RF., Kives S., Caccia N., Ornstein M., Goia C., Allen LM. Retrospective review of unintentional female genital trauma at a pediatric referral center. Pediatr Emerg Care 2008;24(12):831–5.
- Benjamins LJ. Genital trauma in pediatric and adolescent females. J Pediatr Adolesc Gynecol 2009;22(2):129-33.
- Bond GR., Dowd MD., Landsman I., Rimsza M. Unintentional perineal injury in prepubescent girls: a multicenter prospective report of 56 girls. Pediatrics 1995;95(5):628-31.
- Lee SH., Bak CW., Choi MH., Lee HS., Lee MS., Yoon SJ. Trauma to male genital organs: a 10-years review of 156 patients, including 118 treated by surgery. BJU int. 2008;101(2):211-5.
Abstract
Amaç: Çocukluk çağı genital travmaların çoğu cerrahi tedaviye gereksinim göstermeyen minör travmalardan oluşmaktadır. Çalışmamızda cinsel istismar ile birlikte olmayan dış genital travmalı olgularda tedavi sonrası izlemlerin değerlendirilmesi amaçlanmıştır. Yöntem: Haziran 2012-Mayıs 2015 tarihleri arasında kliniklerimize dış genital travma nedeni ile başvuran 26 olgu çalışmaya dahil edildi. Çalışmadaki olgular cinsiyetleri, yaşları, yaralanma etiyolojileri, yaralanma tipleri, yaralanan organlar, tedavi yaklaşımları ve tedavi sonuçları açısından incelendi. Bulgular: Çalışmada yer alan olguların 15’i (%57.7) kız, 11’i (%42.3) erkekti. Tüm olguların yaş ortalaması 7.8±4.3 yıl olarak tespit edildi. Serimizdeki kız olgularda en sık ata biner tarzda düşme sonucu genital travma görülürken erkek olgularda görülen en sık genital travma nedeni yabancı cisim batması idi. Kız olgularda en sık vulva yaralanması görülürken, erkek olgularda en sık penis, skrotum yaralanmaları olduğu görüldü. Kız olgularda en sık genital organ yaralanma tipi laserasyon olarak tespit edildi. Erkek olgularda en sık genital yaralanma tipleri laserasyon ve hematom idi. Olguların %23.1’de cerrahi tedavi gereksinimi görülmedi. 2 olguda organ kaybı (orşiyektomi) olduğu görüldü. Çalışmadaki erkek olguların ortalama yatış süreleri 3.1±3.2 gün, kız olguların ortalama yatış süreleri 1.2±0.9 gün olarak tespit edildi. Sonuç: Çocukluk çağı travmalarının küçük bir bölümünü oluşturan genital travmalar, konservatif olarak takip edilebilirken, tanısında invaziv yöntemler kullanılabilir. Özellikle erkek çocuklarda tedavi sonrası genital organ kaybı, genital organ fonksiyonlarının korunması açılarından ayrıcalıklı bir konudur.
Keywords
References
- KAYNAKÇA
- Scheidler MG., Schultz BL., Schall L., Ford HR. Mechanisms of blunt perineal injury in female pediatric patients. J Pediatr Surg 2000;35(9):1317–9.
- Tarman GJ., Kaplan GW., Lerman SL., McAleer IM., Losasso BE. Lower genitourinary injury and pelvic fractures in pediatric patients. Urology 2002;59(1):123–6.
- Bertini JE Jr., Corriere JN Jr. The etiology and management of genital injuries. J Trauma 1988;28(8):1278-81.
- Galisteo Moya R., Noqueras Ocaña M., Tinaut Ranera FJ., de la Fuente Serrano A., Gutiérrez Tejero F., Ramírez Garrido F., Zuluaga Gómez A. External genital injuries during childhood. Arc Esp Urol 2002;55(7):813-8.
- Gabriel NM., Clayton M., Starling SP. Vaginal laceration as a result of bluntvehicular trauma. J Pediatr Adolesc Gynecol 2009;22(5):166-8.
- Husmann DA., Boone TB., Wilson WT. Management of low velocity gunshot wounds to the anterior urethra: The role of primary repair versus urinary diversion alone. J Urol 1993;150(1):70-2.
- Okur H., Küçükaydın M., Kazez A., Turan C., Bozkurt A. Genitourinary tract injuries in girls. Br J Urol 1996;78(3):446-9.
- Iqbal CW., Jrebi NY., Zielinski MD., Benavente-Chenhalls LA., Cullinane DC., Zietlow SP., Moir CR., Ishitani MB. Patterns of accidental trauma in young girls and indication for operative management. J Ped Surg 2010;45(5):930-3.
- Widni EE., Höllwarth ME., Saxena AK. Analysis of nonsexual injuries of the male genitals in children and adolescents. Acta Paediatr. 2011; 100(4):590–3.
- Spitzer RF., Kives S., Caccia N., Ornstein M., Goia C., Allen LM. Retrospective review of unintentional female genital trauma at a pediatric referral center. Pediatr Emerg Care 2008;24(12):831–5.
- Benjamins LJ. Genital trauma in pediatric and adolescent females. J Pediatr Adolesc Gynecol 2009;22(2):129-33.
- Bond GR., Dowd MD., Landsman I., Rimsza M. Unintentional perineal injury in prepubescent girls: a multicenter prospective report of 56 girls. Pediatrics 1995;95(5):628-31.
- Lee SH., Bak CW., Choi MH., Lee HS., Lee MS., Yoon SJ. Trauma to male genital organs: a 10-years review of 156 patients, including 118 treated by surgery. BJU int. 2008;101(2):211-5.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | October 15, 2015 |
| Submission Date | June 14, 2015 |
| Published in Issue | Year 2014 Volume: 7 Issue: 3 |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.
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