Management of Severe Penile and Scrotal Degloving Injury Following Dog Bite in an Infant: A Case Report

Abstract

Dog bites are a common cause of pediatric trauma, although genital involvement is rare and presents significant reconstructive challenges. We report a 7-month-old male infant with severe penile and scrotal degloving injury and distal urethral involvement following a domestic dog bite. Following stabilization, the patient underwent irrigation, debridement, urethral catheterization, and staged reconstruction including delayed scrotal closure and penile reconstruction with a full-thickness skin graft. Ceftriaxone antibiotics and rabies post-exposure prophylaxis were administered. Recovery was uneventful, and at one-month follow-up, the child demonstrated satisfactory wound healing and preserved urinary function without fistula or stricture. This case highlights the importance of early wound management, infection prophylaxis, individualized reconstruction, and long-term follow-up to monitor delayed functional and cosmetic outcomes.