Reconstrucción genitourinaria en paciente con quemadura eléctrica y compromiso pélvico secundario a efecto de polo de salida

Electrical burns are grade B, with the more complex requiring prompt intervention. The conduction of electricity generates 3 impedances: input pole, body impedance, and output pole. These create zones with severe injury spasms, especially in the output pole which usually has a larger area of injury. As regards impedance electric loads, the output pole will, in the majority of cases, be in the genitourinary region, which will lead to damage to skin, subcutaneous tissue, vessels, and nerve tissue. It is for this reason that the skin graft is usually the first line for cosmetic treatment of the injury or complication. This is an adult patient with a history of electrical burns with input pole in the upper limbs, and output pole in genitourinary region. As a result he presented with damage to genital skin, fibrosis, retraction and partial loss of the glans, distal urethra injury, and penile shortening without compromise of the corpora cavernosa. The aim was to release the retracted skin, dry the whole fibrotic segment, release the corpora cavernosa, urethral retraction and achieve closure of the same. The literature concludes that the reconstruction by partial skin graft is the best method of treatment of genital injuries by electrical burns. It is important to suspect the presence of genitourinary compromise in electrical burns patients, due to the output pole effect. The management of this condition requires a multidisciplinary approach, in order to achieve the best results.