BACKGROUND: @entity546 are uncommon. The more severe @entity130 are often difficult to manage. OBJECTIVES: We report our experience with @entity546 from different causes and treatment options available. @entity1 AND METHODS: We analyzed retrospectively 23 cases of @entity546 presenting to the Urology Unit of a tertiary hospital in the Southeastern part of Nigeria from January 2007 to December 2012. RESULTS: The management for each @entity1 varied depending on the nature and extent of the injury. The mean age of the @entity1 was 28.9    14.4 years (range 3 weeks to 43 years). The mean duration before presentation was 22.7    17.8 h (range 1-168 h). The causes of @entity546 were categorized as follows: Postcircumcision 3 (13.0%), genital mutilation (self-inflicted injury/attacks by assailants) 6 (26.1%), accident 4 (17.4%), @entity546 8 (34.8%), and @entity130 2 (8.6%). Isolated @entity1913 to the corporal tissues as occurs in @entity546 was managed successfully with early exploration and closure of the tunical tear, while @entity130 to the penile skin was managed with dressing and secondary closure. Severe @entity546 resulting in partial or total phallic loss presented the most challenge to treatment. CONCLUSION: @entity130 are not common. Severe @entity546 could be challenging because of the nature of the @entity130 , delayed presentation and unavailability of modern technological tools and experience required for the treatment of such severe @entity130 . Expertise in the use of flaps for a neophallus are still been developed, and penile prosthetic devices are not readily available in our setting.

XXXX : Mechanisms and problems of treatment in a tertiary institution in Nigeria.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity1913 :: ('MESH:D014949', 'Disease') :: ['blunt injuries'] @entity546 :: ('MESH:D004414', 'Disease') :: ['penile fracture', 'penile fractures', 'Penile injuries', 'penile injuries'] @entity130 :: ('MESH:D014947', 'Disease') :: ['gunshot injury', 'injuries', 'Traumatic penile injuries']
@entity130 :: (MESH:D014947,Disease) :: ['Traumatic penile injuries']
