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 | |||
*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 | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Penile Trauma DDX}} | {{Template:Penile Trauma DDX}} | ||
== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==Management== | ||
*Mineral oil and lidocaine infiltration can be used to free the penile skin | *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<ref>Nakagawa, T. and Toguri, A. G. (2006) ‘Penile Zipper Injury’, Medical Principles and Practice, 15(4), pp. 303–304.</ref> | *Wire-cutting or bone-cutting pliers can be used to cut the median bar of the zipper<ref>Nakagawa, T. and Toguri, A. G. (2006) ‘Penile Zipper Injury’, Medical Principles and Practice, 15(4), pp. 303–304.</ref> | ||
*Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected) | |||
==Disposition== | ==Disposition== | ||
*Discharge | |||
==See Also== | ==See Also== | ||
*[[Penile | *[[Penile trauma]] | ||
==References== | ==References== | ||
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.