Skip to main content

Lower Genitourinary Injuries

  • Chapter
  • First Online:
Penetrating Trauma
  • 1889 Accesses

Abstract

Trauma to the external genitalia can be separated into blunt versus penetrating injury. Differentiating between these two mechanisms will have the immediate benefit of facilitating patient care in the trauma suite. Noting the mechanism of injury will also help you determine the likelihood of need for eventual surgery, the potential length of convalescence, and the possibility of injury to the contralateral testis. Particularly with penetrating injuries, you should have a high index of suspicion of injury to the contralateral testicle. It may also assist in the prediction of future fertility.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Recommended Reading

  1. Cass AS et al (1991) Testicular injuries. Urology 37:528–530

    Article  CAS  PubMed  Google Scholar 

  2. Chapple C et al (2004) Consensus statement on urethral trauma. BJU Int 93:1195–1202

    Article  CAS  PubMed  Google Scholar 

  3. Dierks PR et al (1983) Sonography and penile trauma. J Ultrasound Med 2:417–419

    CAS  PubMed  Google Scholar 

  4. Fedel M et al (1996) The value of magnetic resonance imaging in the diagnosis of suspected penile fracture with atypical clinical findings. J Urol 155:1924–1927

    Article  CAS  PubMed  Google Scholar 

  5. Gross M et al (1969) Rupture of the testicle: the importance of early surgical treatment. J Urol 101:196–197

    CAS  PubMed  Google Scholar 

  6. Hadjizacharia P et al (2008) Evaluation of immediate endoscopic realignment as a treatment modality for traumatic urethral injuries. J Trauma 64(6):1443–1449

    Article  PubMed  Google Scholar 

  7. Jeffrey RB et al (1983) Sonography of testicular trauma. Am J Roentgenol 141:993–995

    Article  CAS  Google Scholar 

  8. Jezior JR et al (2001) Management of penile amputation injuries. World J Surg 25:1602–1609

    Article  CAS  PubMed  Google Scholar 

  9. Koga S et al (1993) Sonography in fracture of the penis. Br J Urol 72:228–229

    Article  CAS  PubMed  Google Scholar 

  10. Koraitim MM (1996) Pelvic fracture urethral injuries: evaluation of various methods of management. J Urol 156:1288–1291

    Article  CAS  PubMed  Google Scholar 

  11. Lupetin AR et al (1983) The traumatized scrotum: ultrasound evaluation. Radiology 148:203–207

    Article  CAS  PubMed  Google Scholar 

  12. McAninch JW et al (1984) Major traumatic and septic genital injuries. J Trauma 24:291–298

    Article  CAS  PubMed  Google Scholar 

  13. McAninch JW et al (1989) Management of genital skin loss. Urol Clin North Am 16:387–397

    CAS  PubMed  Google Scholar 

  14. McAninch JW et al (1996) Traumatic and reconstructive urology. W.B. Saunders Company, Philadelphia, pp 347–355, 543–550

    Google Scholar 

  15. Morey AF et al (2004) Consensus on genitourinary trauma: external genitalia. BJU Int 94:507–515

    Article  PubMed  Google Scholar 

  16. Mydlo JH (2001) Surgeon experience with penile fracture. J Urol 166:528–529

    Article  Google Scholar 

  17. Nicolaisen GS et al (1983) Rupture of the corpus cavernosum: surgical management. J Urol 130:917–919

    CAS  PubMed  Google Scholar 

  18. Pliskow RJ et al (1979) Corpus cavernosography in active fracture of the penis. Am J Roentgenol 133:331–332

    Article  CAS  Google Scholar 

  19. Sandler CM et al (1998) Lower urinary tract trauma. World J Urol 16:69–75

    Article  CAS  PubMed  Google Scholar 

  20. Tan LB et al (1991) Traumatic rupture of the corpus cavernosum. Br J Urol 68:626–628

    Article  CAS  PubMed  Google Scholar 

  21. Wein et al Chapter 83. Campbell-Walsh urology, 9th edn. Saunders-Elsevier, pp 2649–2673

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Donald Hannoun .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hannoun, D., Best, C.D. (2017). Lower Genitourinary Injuries. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_51

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49859-0_51

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics