Fifty consecutive Eases of gunshot wounds to the male external genital
ia were treated by the Tulane University Urology Service at the Medica
l Center of Louisiana in New Orleans. Fifty percent of the patients ha
d significant associated injuries. Eight anterior urethral injuries we
re identified, all by retrograde urethrography. Five of 17 testicular
injuries were salvaged with conservative operative technique. Review o
f this series suggests that good functional integrity of the male geni
talia after gunshot injury can be maintained by following a strict dia
gnostic and therapeutic regimen.