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Other Names:
Scrotal Trauma, Straddle Injury, Toilet Sat Injury
Genital Injuries

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Definition

Genital injuries are injuries that can occur to external male genitals. These injuries can occur fairly easily since the scrotum and penis are not protected by bony structures.

A genital injury often causes severe pain but usually goes away quickly without causing permanent damage. Symptoms that might be persistent may be a cause for concern and immediate attention.

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Causes

  • Sports or recreational activities, such as ice hockey, cross-country skiing, mountain biking, baseball or soccer.

  • Falling from a bike onto the cross bar.

  • Work-related activities e.g. exposure of genitals to toxic or irritating chemicals, burns, cuts, amputation of penis

  • Work or projects around the home like falling on a pointed object.

  • Motor vehicle accidents.

  • Gun shot wounds

  • Physical trauma or injury due to assault (direct blow, blunt trauma or cuts caused by sharp objects)

  • Entrapment of foreskin, scrotum or penis in a zipper

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Symptoms

  • Symptoms of shock like lightheadedness, restlessness, shallow, rapid breathing, moist, cool skin or possibly profuse sweating, weakness.

  • Abdominal distress

  • Pelvic pain

  • Severe pain in the penis, scrotum or testicles.

  • Swelling in the scrotal region that lasts longer than 1 hour.

  • Painful erection (priapism) for more than 2 to 3 hours.

  • Bleeding or abnormal discharge from the penis.

  • Discoloration or bruising of the skin over penis or scrotum.

  • Wound, redness, rashes, skin irritation or ulcers on the penis or scrotum.

  • Gradually growing lump in the shaft of the penis.

  • Urinary Problems like inability to urinate, difficulty or burning with urination, frequent urge to urinate without being able to pass much urine, urgent need to urinate, blood in urine.

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Implications

The most serious implication of genital injuries is priapism. Priapism is a condition in which the penis stays erect without sexual stimulation. This condition is unbearably painful and severe episodes can last for days or weeks. Priapism can damage the penis, making it impossible to get a normal erection. This may result in a disease condition called erectile dysfunction. Erectile dysfunction is the main long-term result of priapism, and it can occur after just one episode of priapism. Genital injuries can be very painful and can bleed heavily. It can affect the reproductive organs as well as the bladder and urethra. There may be temporary or permanent damage to the genital tissues depending on the amount of damage, which can range from minimal to severe. However, some injuries, such as a cut or small bruise, may heal completely. Other injuries may cause recurrent infection if there was damage to the urinary system, scarring, or atrophy of the testes. If the penis was actually cut off and surgically reattached, the patient may have decreased sensation in the penis or erectile dysfunction.

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What You Can Do

Immediate
Care
Rest
Lie down and elevate your legs 12 inches or more. Control any bleeding and keep yourself warm or cool depending on the weather. Record the the pulse every 5 minutes and reassure to relieve anxiety. Apply gentle but firm direct pressure for 10 minutes with gauze if there is bleeding. Rest and protect the injured or sore area.
Drain & Suture
If there is a minor cut, wash the area with soap and water for five minutes and suture the cut. Drain the accumulated pool of blood
Urinary Catheter
Urinary catheter is inserted to relieve urinary obstruction due to blood clot or hematoma
Ice
Apply an ice or cold pack immediately to reduce pain and prevent or minimize swelling for 10 to 20 minutes, three or more times a day. Protect your skin from frostbite by placing a cloth between the ice and the skin. After 48 to 72 hours, if swelling is gone, apply gentle warmth to the area with a heating pad.
Support
Wear a soft athletic support or jock strap to provide support and decrease the pain in the testicles.
Medications
Pain Medications
Pain medications such as acetaminophen (Tylenol), Ibuprofen (Advil or Motrin), Naproxen, (Aleve or Naprosyn), Ketoprofen (Actron or Orudis) and Aspirin.
Antibiotics
Broad spectrum antibiotics should be prescribed by your physician to treat or prevent infection
Ongoing Care
Warm Bath
Take a warm bath, which may help relieve pain and itching. Avoid using bubble bath because it may cause additional irritation.Use gentle soaps, such as Basis, Cetaphil, Dove, or Oil of Olay.
Loose Clothing
Avoid further irritation by wearing loose and soft under clothing. Do not use soaps, perfumes, or hygiene sprays on the genital area.
Avoid Sex
Avoid intercourse until symptoms improve. Do not use a condom.
Consult your physician
Consult your physician regarding a possibility of a sexually transmitted disease as sores or ulcers might be the first signs of these diseases.
Prevention
Protect yourself by wearing a jock strap and cup while performing tasks that might involve the risk of injuring your genitals.

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For More Information

Yale Nw Haven Health

Palm Beachpost.com

Discovery Channel

WebMD

Health Scout

American Accreditation HealthCare Commission

MD Advice

Health Guide

Health Canada

N.O.H.A.R.M

Golden Age Health Canada

Ethnic Medicine Information from Harborview Medical Center

The Cross Cultural Healthcare Program

Health Web

LifeMD

Men's Health Canada

C Health

MEDLINEplus

MayoClinic

Healthfinder

The Cleveland Clinic Glickman Urological Institute

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Genital Injuries