Most testicular injuries caused by blunt trauma (eg. As attacks, car accidents, sports injuries). Penetrating injuries are far less frequent. be testicular injuries as bruises, contusions as or if the tunica albuginea is damaged, classified as ruptures.
Most genital trauma affect men and include violations of the testicles, scrotum and penis. The operated in some cultures genital mutilation of women by circumcision of the clitoris is considered genital trauma and child abuse. Most testicular injuries caused by blunt trauma (eg. As attacks, car accidents, sports injuries). Penetrating injuries are far less frequent. be testicular injuries as bruises, contusions as or if the tunica albuginea is damaged, classified as ruptures. A Skrotumverletzung may have been caused by a penetrating injury, burns, bites and avulsion. In penis injury accident, there are several mechanisms. Zipper injuries are common. Penis fractures, which are actually rupture of the corpus cavernosum, often occur when the penis is forcibly bent during sexual activity. It can be added a Urethralverletzung. Amputations (mostly self-inflicted or if the clothing gets into a large machine) and strangulation (usually by konstringierende penis rings that are used to enhance the erection) are other mechanisms. . Penetrating injuries, including animal and human bites and gunshot wounds, are rare; Gunshot wounds may also affect the urethra. Among the complications of genital trauma include infection, tissue loss, erectile dysfunction, male hypogonadism and urethral scarring. Symptoms and discomfort symptoms that follow a direct blow to the scrotum, are usually pain and swelling. Signs include discoloration of the scrotum and a delicate, solid mass in the scrotum, which can not be illuminated, indicating a hematocele. Penetration into the scrotum suggests evidence for a possible involvement of the testes. Often the investigation by the complaints of the patient is limited. A penile fracture occurs during intercourse and usually results in a crackling sound in immediate pain, significant swelling of the penis and skin bleeding, and usually also a visible deformity. The presence of haematuria suggests the possibility of a simultaneous urethral injury; In such cases a retrograde urethrogram should be performed. Diagnosis Clinical examination Sonography (with testicular Vereletzung). Retrograde Urethrography (some penis injury with possible urethral injuries) The diagnosis of external scrotal and penile injury occurs clinically. The clinical diagnosis of Hodenkontusion and -ruptur can be difficult because the extent of the injury can be out of proportion to the physical findings, so that the patients are examined with blunt testicular injury usually with an ultrasound of the scrotum. Most penis injuries are evident on physical examination. In all patients with penile fracture or penetrating penis injury in which a urethral injury is suspected (eg. As with hematuria or urinary retention), an x-ray with urethral contrast (retrograde urethrogram) is made. Sometimes therapy surgical correction patients with penetrating injuries or clinical or sonographic features that suggest a Hodenruptur, require surgical exploration and repair. Similarly, all Penisrupturen and penetrating injuries should be investigated surgically and the defects are repaired. Penis amputations have to be re-implanted if possible with microsurgical methods when the amputated part is still present. Strangulationsverletzungen can easily usually treated by removing the contracting cause which may require the use of metal cutters. Animal and human bites that affect the genitals, should be treated with copious irrigation, debridement and appropriate antibiotic prophylaxis; primary closure is contraindicated. Zip fasteners must be removed (removal of a fastener from the penile skin.). Removal of a fastener from the penile skin. To remove a zipper, a local anesthetic is injected into the injured area. Mineral oil is used to lubricate the zipper, and then an attempt is made to open the zipper. If this attempt fails, a robust wire cutter (cut) is used to cut in half the median strip on the top side of the zip fastener slider, which connects the two side parts to each other. Then the slider falls apart in two pieces, and the Reißverschlusszähnchen go very slightly apart. Important points you diagnose an external scrotal and penile injury clinically. Diagnose most blunt testicle injury with ultrasound. Perform a retrograde Urethrography to diagnose concomitant urethral injury, when patients have either a penis fracture or penetrating injury to the penis and hematuria or inability to urination. Resolve any transgressions surgically (eg testicular fracture or penetrating trauma;. Penis fractures, amputations, and penetrating injuries).