Aetiology
: Burns of the perineum or genitalia are caused by exposure to high temperatures, such as hot surfaces, steam, boiling liquids, and caustic chemicals. Other sources of injury can include friction or pressure, electric shocks, radiation, or exposure to ultraviolet or infrared light.
Diagnosis
: Diagnosis of a burn of the perineum or genitalia is typically done by physical examination and medical history. The degree of burn (first, second, or third degree) must be determined and the extent of the affected area must be assessed.
Differential diagnosis
of burns of the perineum or genitalia includes other types of trauma, such as lacerations, contusions, abrasions, and hematomas. Skin infections, such as herpes or candidiasis, should also be ruled out.
Treatment
: Treatment depends on the severity of the burn and may include analgesics, antibiotics, topical medications, and/or dressings. First-degree burns typically heal on their own and may be treated with simple wound care. Second-degree burns may require more intensive treatment, such as skin grafting or debridement. Third-degree burns may require more extensive treatments, such as skin grafting and reconstructive surgery.
Prognosis
: The prognosis for burns of the perineum or genitalia depends on the severity of the burn. First-degree burns typically heal without complication. Second-degree burns may take longer to heal and may result in scarring. Third-degree burns may require surgery and may result in permanent scarring or disfigurement.