The management of burns to the perineum and genitals
- PMID: 2312592
- DOI: 10.1097/00004630-199001000-00012
The management of burns to the perineum and genitals
Abstract
A review of 1987 patients treated during the years 1981 to 1986 was conducted to answer the following questions about perineal burns: (1) Are Foley catheters necessary for all patients? (2) Is there any advantage to early excision of the perineal burn wound? (3) What are the complications of perineal wounds? One hundred three patients with perineal burns were identified; mean burn size was 36% of total body surface area. There were 29 deaths in this group but none were related to the perineal burns. Of the 74 survivors 36 (49%) needed Foley catheters. However, the catheters were in place for the period of resuscitation only. There were no urethral complications associated with catheterization. Only three patients required surgery: one had a urethral meatotomy and two had split-thickness skin grafts. In conclusion, we found no genitourinary complications associated with perineal burns. Almost all perineal and genital burns were managed without indwelling catheters. Early excision of the perineal burn wound is not necessary, and most of these wounds will heal satisfactorily without grafting.
Similar articles
-
Management of adult patients with buttock and perineal burns: The Ross Tilley Burn Centre experience.J Trauma Acute Care Surg. 2014 Oct;77(4):640-8. doi: 10.1097/TA.0000000000000405. J Trauma Acute Care Surg. 2014. PMID: 25250608 Free PMC article. Review.
-
Burns to the genitalia and the perineum.J Urol. 1998 Feb;159(2):418-9. doi: 10.1016/s0022-5347(01)63937-5. J Urol. 1998. PMID: 9649253
-
Burns to the genitalia, perineum, and buttocks increase the risk of death among U.S. service members sustaining combat-related burns in Iraq and Afghanistan.Burns. 2017 Aug;43(5):1120-1128. doi: 10.1016/j.burns.2017.01.018. Epub 2017 Apr 21. Burns. 2017. PMID: 28438352
-
Management of pediatric perineal and genital burns: twenty-year review.J Burn Care Rehabil. 1990 Jul-Aug;11(4):308-11. doi: 10.1097/00004630-199007000-00007. J Burn Care Rehabil. 1990. PMID: 2401686
-
Perineal burn care: French working group recommendations.Burns. 2014 Jun;40(4):655-63. doi: 10.1016/j.burns.2013.09.007. Epub 2013 Oct 6. Burns. 2014. PMID: 24103787
Cited by
-
Genital burns in the United States: Disproportionate prevalence in the pediatric population.Burns. 2018 Aug;44(5):1366-1371. doi: 10.1016/j.burns.2018.02.023. Epub 2018 Mar 22. Burns. 2018. PMID: 29576344 Free PMC article.
-
Urotrauma: AUA guideline.J Urol. 2014 Aug;192(2):327-35. doi: 10.1016/j.juro.2014.05.004. Epub 2014 May 20. J Urol. 2014. PMID: 24857651 Free PMC article.
-
Scrotal reconstruction and testicular prosthetics.Transl Androl Urol. 2017 Aug;6(4):710-721. doi: 10.21037/tau.2017.07.06. Transl Androl Urol. 2017. PMID: 28904904 Free PMC article. Review.
-
Management of adult patients with buttock and perineal burns: The Ross Tilley Burn Centre experience.J Trauma Acute Care Surg. 2014 Oct;77(4):640-8. doi: 10.1097/TA.0000000000000405. J Trauma Acute Care Surg. 2014. PMID: 25250608 Free PMC article. Review.
-
Isolated chemical burns to the genitalia.Ann Burns Fire Disasters. 2006 Sep 30;19(3):148-52. Ann Burns Fire Disasters. 2006. PMID: 21991041 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical