PDF(Pubmed)
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).
摘要：
阴茎和阴囊的枪伤（GSW）存在于所有泌尿生殖系统（GU）创伤的三分之二，在军事环境中爆炸伤的比例越来越高。根据弹丸的能量，军事和民用GSW的伤害模式有所不同。在这次审查中,我们试图向外生殖器提供GSW的详细概述，从机制到管理。我们研究弹道损伤如何影响组织，以及发生的伤害类型，以及如何评估这些外生殖器损伤。如果担心阴茎或阴囊的深层结构受伤，手术探查和修复是必要的。相关病史和体格检查，成像的作用，并讨论了在民用和军用环境中保守或手术治疗方案的选择，以及美国泌尿外科协会（AUA）和欧洲泌尿外科协会（EAU）制定的管理指南。
