Penile trauma: Difference between revisions

Revision as of 04:08, 21 March 2014

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)

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 ==Differential Diagnosis==
 {{Template:Penile Trauma DDX}}
-==[[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
 ==See Also==