Penile trauma: Difference between revisions

Latest revision as of 18:21, 29 March 2023

Background

Penis anatomy

The human male urethra laid open on its anterior (upper) surface.

Transverse section of the penis.

Any patient with trauma to genitalia with 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 trauma types

Clinical Features

Differential Diagnosis

Genitourinary Trauma

Urinary system
Genital
Other
- Child abuse
- Pelvic fracture (often accompanies)
- Sexual assault

Evaluation

Management

Disposition

External Links

References

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
-*Any pt w/ trauma to genitalia w/ a prothesis in place should be seen by a urologist
+[[File:Sobo 1909 571.png|thumb|Penis anatomy]]
+[[File:Gray1142.png|thumb|The human male urethra laid open on its anterior (upper) surface.]]
+[[File:Gray1155.png|thumb|Transverse section of the penis.]]
+*Any patient with trauma to genitalia with 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==
+{{Penile Trauma DDX}}
-*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==
+==Clinical Features==
-*Treat conversevely ice, rest, elevation, foley placement if pt unable to void
-==Zipper Injury==
+==Differential Diagnosis==
-*Mineral oil and lidocaine infiltration can be used to free the penile skin
+{{Lower GU trauma DDX}}
-*Wire-cutting or bone-cutting pliers can be used to cut the median bar of the zipper
-==Traumatic Epididymitis==
+==Evaluation==
-*Noninfectious inflammatory condition that occurs w/in few days after trauma to testis
-**Treatment is similar to that for nontraumatic epididymitis
+==Management==
+==Disposition==
 ==See Also==
-[[GU Trauma]]
+*[[Urethral trauma]]
+*[[GU Trauma]]
+*[[Penile diagnoses]]
+==External Links==
+==References==
+<references/>
 [[Category:Trauma]]
-[[Category:GU]]
+[[Category:Urology]]