Zipper injury to penis: Difference between revisions
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==Background== | ==Background== | ||
[[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.]] | |||
*Most common in young children and adolescents | *Most common in young children and adolescents | ||
*Rapid extrication is recommended to avoid worsening edema and further tissue damage | *Rapid extrication is recommended to avoid worsening edema and further tissue damage | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:PMC2740150 1757-1626-0002-0000006345-001.png|thumb|Foreskin trapped by his zipper.]] | |||
*Penile or scrotal tissue caught in zipper | *Penile or scrotal tissue caught in zipper | ||
Latest revision as of 18:26, 29 March 2023
Background
- Most common in young children and adolescents
- Rapid extrication is recommended to avoid worsening edema and further tissue damage
Clinical Features
- Penile or scrotal tissue caught in zipper
Differential Diagnosis
Penile trauma types
Evaluation
- Clinical diagnosis
Management
- Expose the area by cutting clothing around zipper.
- Give pain control (e.g. IN Fentanyl) for extrication
- May require conscious sedation.
- Mineral oil (applied topically for 10-15 minutes) 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[1]
- Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected)
Disposition
- Discharge
See Also
References
- ↑ Nakagawa, T. and Toguri, A. G. (2006) ‘Penile Zipper Injury’, Medical Principles and Practice, 15(4), pp. 303–304.