Management of Genital, Anal, and Perineal Trauma in Children: 10 Year Experience

Purpose: Accident or abuse play a role in the etiology of genital, anal and perineal traumas in children. It was aimed to evaluate the genital injury scores and treatment modalities of patients injured as a result of accidents. Methods: After the approval of the local ethics committee, the files of the patients who were treated for genital, anal and perineal trauma in a tertiar center between November 2011 and December 2021 were reviewed retrospectively. An evaluation was made by revealing the gender, age, mechanism of trauma, physical examination findings and treatment modalities of the patients. Results: In this period 59 patients including 30 male and 29 female were treated with mean age of 7.5 year. Genital injury score was determined in trauma caused by running, walking or falling on an object, falling off a bicycle, fighting and non-vehicle traffic accident. Penile hematoma, abrasion, tissue defect, scrotal edema-hematoma-pain, laceration, testicular pain, perineal-perianal laceration, labium majus-minus laceration, abrasion, tissue defect, hymen laceration, laceration in anal sphincter and rectal mucosa were observed. In addition to medical treatment, primary repair, perineoplasty, colostomy, anoplasty, hymenoplasty, sphincteroplasty and debridement were performed. Recovery was uncomplicated. Conclusion: The most common cause of trauma in children is falls, and patients with low genital injury scores on physical examination require medical treatment and/or primary repair with local anesthesia, while those with high levels require examination and surgical treatment under general anesthesia.