Circumcision for penile deep burn with phimosis

Abstract

In this case report, we present the management of an uncommon case of genital burns in a patient with pre-existing phimosis. Generally, a burn wound on the prepuce is ­treated with a standard burn wound care strategy; however, in this case, circumcision was performed to address both the phimosis and the genital burns simultaneously. To the best of our knowledge, no similar cases have been reported in the literature. Genital burns are not often encountered due to their protected anatomic location and the additional coverage provided by clothing. Thus, genital burns are usually associated with extensive total body surface area (TBSA) burn injuries. Currently, there is no available standardized algorithm or treatment guideline for genital burn injuries. The treatment of burns in this region is primarily conservative. In this case, a 55-year-old male patient presented with extensive scald burn injury, including genital burns. He was diagnosed with third-degree scald burns on both upper extremities and deep second-degree burns on the lower extremities, abdomen, perineum and genitals, covering 46% of the TBSA. However, his penis was protected by native phimosis. We performed fluid resuscitation and burn wound management, including circumcision. The use of circumcision as a simultaneous treatment for genital burns and phimosis led to a highly favorable outcome, including good wound healing, effective pain control, satisfactory prognosis, and excellent cosmetic appearance.

doi: 10.48095/ccrvch202629