Zipper injury to penis
- Most common in young children and adolescents
- Rapid extrication is recommended to avoid worsening edema and further tissue damage
- Penile or scrotal tissue caught in zipper
- Clinical diagnosis
- 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
- Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected)
- Nakagawa, T. and Toguri, A. G. (2006) ‘Penile Zipper Injury’, Medical Principles and Practice, 15(4), pp. 303–304.