2023 Volume 43 Issue 12 Pages 739-744
Dog bites, while common in medical practice, are rarely reported to involve human external genitalia. Such injuries predominantly affect children and can cause severe sexual impairment. This report describes an exceptionally rare case of bilateral testicular damage caused by a dog bite. A 15-month-old boy was bitten on the pubic area by a domestic dog while he was unsupervised by his parents. Initial examination showed bilateral damage to the testes and scrotal skin; however, the urethra remained intact. We inserted a urinary catheter. The patient was subsequently transferred to our hospital for multidisciplinary treatment. Following the testicular defect confirmation, scrotal reconstruction was performed under general anesthesia. Five years postoperatively, the patient was able to urinate in a standing position without complications. When treating dog bites to the external genitalia, infection control is paramount. Alongside the potential need for testosterone replacement therapy due to trauma-induced hypogonadism, psychological support remains crucial.
