Penile trauma

Background

• Any pt w/ trauma to genitalia w/ a prothesis in place should be seen by a urologist
• All penetrating trauma to the penis requires surgical consultation
• Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected)

Penile Fracture

• Results from rupture of corpus cavernosum
  • Cracking sound followed by pain, detumescence, swelling, discoloration, deformity
• Obtain retrograde urethrogram to r/o urethral injury
• Requires operative removal of blood cut and repair of tunica albuginea

Penile Contusion

• Treat conversevely ice, rest, elevation, foley placement if pt unable to void

Zipper Injury

• Mineral oil and lidocaine infiltration can be used to free the penile skin
• Wire-cutting or bone-cutting pliers can be used to cut the median bar of the zipper

Traumatic Epididymitis

• Noninfectious inflammatory condition that occurs w/in few days after trauma to testis
  • Treatment is similar to that for nontraumatic epididymitis

See Also

GU Trauma