The study aims to evaluate the individuals with posttraumatic penoscrotal injuries and create a treatment algorithm for the same.
The researchers conducted a chart review study (retrospective) on individuals with penoscrotal defects. The population for the study was men admitted to Level I trauma center between 2017 and 2019. The team used the Branden Scale score for evaluating the wound. The KPCS helped in assessing the severity of the wound. Later, the data underwent univariate and multivariate tests to understand the risk factors involving early surgical management.
The study covered 58 men with an average score of 12.08 +/- 2.54 (Braden). The main injury sites were the scrotum (36.20%) and penile shaft (32.76%). 20.68% of the wounds required surgery. The most common treatment method was local flaps. The factors that determined the surgery requirement were orthopedic combined injury, age, restraint, blood transfusion, and intabulation.
The patients with multiple trauma, the high-speed trauma leading to penoscrotal defects is a significant factor. Individuals with respiratory care or combine skeletal injuries could experience advanced wounds. Thus, such patients require a five-category algorithm, including the hemodynamic station, physical condition, immobilization, respiration, and comorbidity. Active plastic surgery intervention and inter-departmental cooperation are essential for such conditions.
Ref: https://bmcurol.biomedcentral.com/articles/10.1186/s12894-020-00763-7
