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...
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...
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...
Impotence
Incontinence
Strictures
Infection
Disfigurement
Pain
Scarring
Infertility
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...
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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