Penile trauma: Difference between revisions
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*Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected) | *Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected) | ||
==Penile Fracture== | ==Differential Diagnosis== | ||
{{Template:Penile Trauma DDX}} | |||
==[[Penile Fracture]]== | |||
*Results from rupture of corpus cavernosum | *Results from rupture of corpus cavernosum | ||
**Cracking sound followed by pain, detumescence, swelling, discoloration, deformity | **Cracking sound followed by pain, detumescence, swelling, discoloration, deformity | ||
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*Requires operative removal of blood cut and repair of tunica albuginea | *Requires operative removal of blood cut and repair of tunica albuginea | ||
==Penile Contusion== | ==[[Penile Contusion]]== | ||
*Treat conversevely ice, rest, elevation, foley placement if pt unable to void | *Treat conversevely ice, rest, elevation, foley placement if pt unable to void | ||
==Zipper Injury== | ==[[Zipper Injury to Penis]]== | ||
*Mineral oil and lidocaine infiltration can be used to free the penile skin | *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 | *Wire-cutting or bone-cutting pliers can be used to cut the median bar of the zipper | ||
==Traumatic Epididymitis== | ==[[Traumatic Epididymitis]]== | ||
*Noninfectious inflammatory condition that occurs w/in few days after trauma to testis | *Noninfectious inflammatory condition that occurs w/in few days after trauma to testis | ||
**Treatment is similar to that for nontraumatic epididymitis | **Treatment is similar to that for nontraumatic epididymitis | ||
Revision as of 04:03, 21 March 2014
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)
Differential Diagnosis
Penile trauma types
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 to Penis
- 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