# Penis trauma after fish bites: a case report

## TL;DR

A boy suffered severe penile trauma from a fish bite and was successfully treated with surgery and antibiotics.

## Contribution

This case report highlights a rare fish bite injury causing penile trauma and its successful management.

## Key findings

- The patient underwent meatoplasty and recovered without urinary issues.
- No stricture was observed in the new meatus after three months.
- Emergency care and surgical intervention led to a successful outcome.

## Abstract

Penile trauma is challenging because it impacts both physical and mental well-being. It is uncommon because the penis is well-protected by its position. We report the case of an 11-year-old boy who presented with penile glans partial amputation and total transection of the urethra resulting from a fish bite injury while swimming in the river. The patient received emergency care, including wound irrigation, anti-tetanus shots, broad-spectrum antibiotics, pain medication, and pre-op preparation for surgical debridement. Meatoplasty for the conservation of the penile glans was performed. The patient was given antibiotics for five days and a urinary catheter for 14 days. Suture removal was done on the 21st day after surgery. After three months, the patient was free of urinary problems, and there was no stricture in the new meatus.