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)

Types

Penile trauma types

• Penile amputation
• Penile contusion
• Penile fracture
• Traumatic epididymitis
• Zipper injury to penis

Penile Amputations

• Amputated part should be placed in a sterile bag after wrapped in wet saline gauze, then place in another bag submerged in ice and tap water.
  • DO NOT submerge in saline and ice since freezing point will be higher

Differential Diagnosis

Genitourinary Trauma

• Urinary system
  • Renal trauma
  • Ureter trauma
  • Bladder trauma
  • Urethral trauma
    • Traumatic foley catheter removal
• Genital
  • Penile trauma
    • Traumatic foley catheter removal
  • Testicular trauma
  • Vaginal trauma
• Other
  • Child abuse
  • Pelvic fracture (often accompanies)
  • Sexual assault

See Also

• GU Trauma
• Penile diagnoses