Penile Fracture by Dog Bite in Children: A Case Report

We report a case of ten years old boy with external genitalia trauma by dog bite. The boy was running when he hit the neighbor's unrestrained dog which was sleeping outdoors. The child presented with urinary retention with penile injuries. We performed a vesicostomy followed two days later, by a surgical exploration of injuries. We noticed a fracture of the penis with a concomitant complete disruption of penile urethra. We performed debridement, realignment of urethra by catheterization of proximal and distal urethra; then, urethra and the corpus cavernosum were reconstructed. Tetanus and rabies immunization has been done. The follow up was uneventful with normal voiding and no erectile dysfunction four (4) years later. Background: Genitalia dog bite is rare. Injuries varied from moderate skin loss to severe injuries like complete penile and scrotal avulsion [1] which can lead to genital feminization or genital reconstruction. Penile fracture is the traumatic rupture of the corpus cavernosum associated most of the time with sexual intercourse in adult, and trauma in children [2- 4]. The goal of this study was to report our experience of a rare case of penile fracture in children by a dog bite and discuss the management. Conclusion: Early surgical exploration, debridement and primary reparation of penetrating injuries are advised in male children with external genitalia dog bites. Realignment by the catheterization of proximal and distal urethra prevents extensive mobilization of urethra with good result, in case of complete urethral disruption, especially when endoscopy is not available.