{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:23:19Z","timestamp":1787844199469,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of the study was to highlight the etiology, spectrum of presentation, and management of isolated penile trauma in boys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of boys treated for isolated penile trauma between January 2015 and June 2019 at a tertiary-level hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nine children were admitted over 4\u00bd years. Etiology: The mechanism of penile injury (PI) was penile hair tourniquet (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5), postcircumcision (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), dog bite (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and scald injury (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Extent of injury includes complete urethral transection at corona (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4); loss of urethral plate in a case of hypospadias (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1); complete loss of glans (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1); penile transection at corona (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1); total penile amputation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1); and deep partial-thickness burns of penile shaft and adjacent suprapubic skin (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Management: One patient absconded. The remaining patients were managed as follows: calibration of urethral meatus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1); penile burn was managed with dressing and antibiotics; coring of glans with urethral end\u2013end anastomoses (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4); Bettocchi's quadrangular lower abdominal flap phalloplasty (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1); and Bracka's staged urethroplasty (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). Complications include wound infection following trauma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4), postsurgical infection (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), urethrocutaneous fistula (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), and reapplication of penile hair tourniquet (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Isolated PI in boys is not uncommon. Most are preventable if the parents are apprized and watchful. The clinician should also be vigilant regarding child maltreatment. A staged approach tailored to the type of injury provides a satisfactory outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_85_20","type":"journal-article","created":{"date-parts":[[2021,5,15]],"date-time":"2021-05-15T13:29:02Z","timestamp":1621085342000},"page":"177-181","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Isolated Penile Injury in Boys"],"prefix":"10.4103","volume":"26","author":[{"given":"Nitin","family":"Pant","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand","family":"Pandey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Wakhlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240905","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1046\/j.1464-410X.2002.02741.x","article-title":"Paediatric penile trauma","volume":"90","author":"El-Bahnasawy","year":"2002","journal-title":"BJU Int"},{"key":"R2-7-20240905","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1111\/j.1651-2227.2010.02088.x","article-title":"Analysis of nonsexual injuries of the male genitals in children and adolescents","volume":"100","author":"Widni","year":"2011","journal-title":"Acta Paediatr"},{"key":"R3-7-20240905","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1136\/adc.2006.111195","article-title":"Genital injuries in boys and abuse","volume":"92","author":"Hobbs","year":"2007","journal-title":"Arch Dis Child"},{"key":"R4-7-20240905","first-page":"1600","article-title":"American Association for the Surgery of Trauma Organ Injury Scaling: 50th anniversary review article of the Journal of Trauma","volume":"69","author":"Moore","year":"2010","journal-title":"J Trauma"},{"key":"R5-7-20240905","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1111\/j.1442-2042.2010.02605.x","article-title":"Management of genital burns: a review","volume":"17","author":"Michielsen","year":"2010","journal-title":"Int J Urol"},{"key":"R6-7-20240905","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1016\/0022-3468(94)90105-8","article-title":"Hair coil strangulation of the penis","volume":"29","author":"Kirtane","year":"1994","journal-title":"J Pediatr Surg"},{"key":"R7-7-20240905","doi-asserted-by":"crossref","first-page":"322","DOI":"10.5152\/tud.2018.36699","article-title":"Hair tourniquet syndrome of penis: A rare situation in boys with serious complications if not recognized","volume":"45","author":"\u00d6z\u00e7ift","year":"2019","journal-title":"Turk J Urol"},{"key":"R8-7-20240905","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1016\/j.jpedsurg.2009.11.008","article-title":"Progressive hair coil penile tourniquet syndrome: Multicenter experience with 25 cases","volume":"45","author":"Badawy","year":"2010","journal-title":"J Pediatr Surg"},{"key":"R9-7-20240905","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/0090-4295(77)90282-5","article-title":"Progressive penile amputation. 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