PENILE TRAUMA

Question 1

What percentage of patients sustaining injury to the external genitalia required RBC transfusion due to blood loss from genital injury alone?

Answer 1

25%

Question 2

Signs and symptoms of penile trauma will be based on what?

Answer 2

mechanism of injury

Question 3

Blunt trauma to the erect penis may cause rupture of the what and may be associated with the following?

1. immediate pain
2. deforming hematoma (eggplant)
3. “cracking sound”
4. immediate detumescence
5. urethral injury

Answer 3

Corpus cavernosa

Question 4

What kind of penile trauma can occur secondary to clothing being trapped by heavy machinery?

Answer 4

Amputation

Question 5

Can vacuum injuries cause extensive injury to the glans penis and urethra?

Answer 5

Yes

Question 6

What occurs from objects placed circumferentially around the penile shaft?

Answer 6

Constriction/strangulations injuries

required immediate removal to prevent urethral injury and neurovascular compromise

Question 7

What are some penetrating injuries associated with penile trauma?

Answer 7

1. Animal bites
2. GSW
3. Stabbing

Question 8

What is conservative treatments for contusions in penile trauma?

Answer 8

1. Tylenol
2. NSAIDS
3. Cold packs
4. Rest
5. Elevation

Question 9

What kind of imaging is used for penile trauma?

Answer 9

1. Retrograde urethrogram
   a. evaluates urethral injury
   b. URG will show extravasation of contrast in urethral injury
2. Scrotal/Penile ultrasound

Question 10

What is the disposition for a patient with penile trauma?

Answer 10

MEDEVAC

referral to urology for injuries requiring possible surgery