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Burns to the genitals and the perineum in children.

OBJECTIVE
To determine the management of perineal and genital burns in children.


PATIENTS AND METHODS
Twenty-seven children (aged 6 months to 12 years) suffering from genital or perineal burns between 1981 and 1995 were reviewed. Most burns occurred in boys (70%), were due to scalds (85%) and caused superficial second-degree lesions (63%). The initial treatment consisted of topical antimicrobials or grafting with allografts.


RESULTS
Spontaneous healing by conservative therapy, not early excision therapy, occurred in 96% of the patients. Contractures occurred in two patients and were treated with multiple Z-plasties and circumcision.


CONCLUSION
The management of perineal and genital burns in children should be conservative.