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External Genital Trauma, Sports Medicine

David C. Shin, MD and David W. Kruse, MD Reviewed 04/2019
 


BASICS

  • Injuries in males:

    • Lacerations, hematomas, avulsions of penis/scrotum

    • Penile fracture

    • Urethral injury

    • Testicular rupture

    • Penetrating injury to penis/scrotum

  • Injuries in females:

    • Lacerations, hematomas...

DIAGNOSIS

Pediatric Considerations
  • If an examination of the introitus and perineum cannot be performed easily, examination under anesthesia should occur.

  • An examination in the operating room (OR), in ad...

TREATMENT

  • Prehospital:

    • Similar considerations as for major trauma victims

  • ED treatment:

    • Initial stabilization, control of bleeding, pain control

    • After appropriate evaluation and workup, urologic or gyneco...

ONGOING CARE

COMPLICATIONS

  • Impotence

  • Incontinence

  • Strictures

  • Infection

  • Disfigurement

  • Pain

  • Scarring

  • Infertility

REFERENCES

1
Summerton DJ, Djakovic N, Kitrey ND, et al. Guidelines on urological trauma. http://uroweb.org/guideline/urological-trauma/. Accessed May 2018.
2
Bryk DJ, Zhao LC. Guideline of guidelines: a...

ADDITIONAL READING

  • Carter CT, Schafer N. Incidence of urethral disruption in females with traumatic pelvic fractures. Am J Emerg Med.  1993;11(3):218–220.

  • Lee SH, Bak CW, Choi MH, et al. Trauma to...

CLINICAL PEARLS

  • Must rule out a urethral injury if there is blood at the meatus, inability to void, or hemorrhage.

  • Increased risk of injury to neighboring organs in females

  • Consider nonaccidental trauma...

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