• Andre G Cavalcanti, Renato Krambeck, Alexandre Araujo, Carlos H Manes, and Luciano A Favorito.
• Section of Urology, Souza Aguiar Municipal Hospital, Rio de Janeiro, RJ, Brazil.
• Int Braz J Urol. 2006 Jan 1;32(1):56-60; discussion 60-3.

ObjectiveTo demonstrate the main aspects of diagnosis, treatment and follow-up of 43 patients with gunshot wounds to the penis.Materials And MethodsThe location of the lesion, the presence of associated lesions, the performance of complementary exams, surgical treatment, postoperative complications and long term follow-up of 43 patients with penile lesions from gunshot wounds were retrospectively analyzed.ResultsOf 43 cases assessed, 41 were submitted to surgical exploration (95.3%) and 2 were submitted to conservative treatment (4.7%). We found penile lesions involving the corpus cavernosum in 37 cases; the remaining 4 patients presented no lesions involving the corpus cavernosum, urethra or testicles but did in the superficial structures. Ten cases presented an association with testicular lesions and 14 cases association with anterior urethral lesions.ConclusionPenile lesions from gunshot wounds should be treated with immediate surgical intervention. In exceptional situations featuring superficial lesions only conservative treatment may be applied.

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