Genitourinary trauma: Difference between revisions

Revision as of 03:55, 13 June 2012

Majority of blunt trauma injuries present w/ hematuria
Renal pedicle injuries and penetrating injuries to ureter may not cause hematuria
Renal injuries are a/w flank hematoma, lower rib fx, penetrating wounds to flanks

Perform speculum examination when vaginal hemorrhage or hematoma is present to exclude vaginal laceration

Tintinalli

Authors:

@@ Line 25: / Line 25: @@
 ===[[Urethral Injury]]===
 ===[[Testicular Injury]]===
-====Penile Injury====
+====[[Penile Injury]]====
-*General
-**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
 ====Vaginal Injury====
 *Perform speculum examination when vaginal hemorrhage or hematoma is present to exclude vaginal laceration