Pediatric genital burns: a 15-year experience from a tertiary burn center

Aims: To describe the epidemiological features, clinical management, and outcomes of pediatric genital burns over a 15-year period at a tertiary burn center. Methods: A retrospective review was conducted on 227 pediatric patients with genital burns admitted between 2005 and 2019. Data collected included demographics, burn mechanism, total burn surface area (TBSA), genital burn surface area (GBSA), treatment details, complications, and follow-up outcomes. Multivariate analyses were performed to investigate the associations between selected clinical variables and outcomes, including graft requirement and long-term genitourinary complications. Results: Scald injuries predominated in children under 5 years, while flame and electrical burns were more common in older patients. The mean TBSA was 28.0%, and 11% of the patients required genital skin grafting. Bloodstream infections and full thickness burns were associated with increased risk of long-term GUcomplications. Genital involvement itself was not an independent predictor of adverse outcomes. Conclusion: This study provides a cohort-level overview of pediatric genital burns and their management. TBSA and burn depth were the primary factors associated with clinical outcomes. Genital location alone did not confer additional risk but it may stiwarrant specialized follow-up.