Penile Trauma

Question 1

what percentage of patients with injury to external genitalia require RBC transfusion?

Answer 1

25%

Question 2

a penile fracture has what signs and SX?

Answer 2

deforming hematoma “eggplant deformity”
“cracking sound”
immediate detumescence
urethral injury

Question 3

what can vacuum injuries cause extensive injury to?

Answer 3

glans penis and urethra

Question 4

treatment for penile contusions?

Answer 4

treat conservatively

Acetaminophen
NSAIDS
Cold Packs
Rest
Elevation

Question 5

what labs will you run for penile trauma?

Answer 5

CBC to check for anemia secondary to blood loss whether internal or external

Question 6

what type of imaging do you use to evaluate urethral injury?

Answer 6

Retrograde urethogram (URG), will show extravasation in urethral injury

Scrotal/penile ultrasounds with doppler are useful for all penile injury

Question 7

What would make you suspect a urethral injury?

Answer 7

blood at meatus
perineal hematoma
high riding prostate on DRE

Question 8

what penile injuries are foley catheters contraindicated?

Answer 8

Fournier’s gangrene
ED
Urethral scaring/stricture
Penile deformity