Background: Genital burns are rarely encountered because of their anatomic location as well as the additional protection provided by the clothing coverage in this area. They are usually associated with extensive total body surface area (TBSA) burn injuries. Genital burns are also classified into four groups according to the depth of injury. However, there is currently no available standard algorithm or treatment guideline for genital burn injuries. It is believed that the treatment of burns in this region is primarily conservative.
Aim and objectives: Generally, a prepuce burn wound is treated by a standard burn wound care strategy. However, circumcision was performed on this patient to simultaneously treat the phimosis and genital burns. We therefore aim to present in this case report, our management of a rare case of genital burns in a patient with preexisting phimosis.
Materials and methods: We reported the case of a 55-year-old man who presented with extensive scald burn injury, including genital burns. He was diagnosed with third-degree scald burns on the bilateral upper extremities and deep second-degree burns on the bilateral lower extremities, abdomen, and perineum, covering 46% of the TBSA. His penis, however, was protected by native phimosis. We performed three stages of burn care in our patient: fluid resuscitation, burn wound management, and circumcision, which treated both the genital burn and phimosis simultaneously.
Results: The use of circumcision as a simultaneous treatment for genital burns and phimosis led to excellent outcomes, including good wound healing, efficient pain control, satisfactory prognosis, and acceptable cosmetic appearance.
Conclusion: Genital burns seldom occur because of their anatomical location; when they do, they are usually associated with other extensive burn injuries. Patient care should include fluid resuscitation and burn wound management. In this case, circumcision was used to successfully treat the genital burn and native phimosis present in our patient simultaneously.

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