title: Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery.
abstract: OBJECTIVE
  To assess testicular rupture, scrotal haematoma, penile fracture and penile injury, comparing the prognoses of surgery and conservative management, as trauma to male external genital organs can cause devastating effects on patients and their partners.
  
  
  METHODS
  We reviewed the medical records of 156 male patients who presented to our emergency centre with trauma to the external genital organs between January 1996 and March 2006.
  
  
  RESULTS
  In all, 74 patients had testicular rupture, 32 penile fracture, 26 a penile injury and 24 a scrotal haematoma (mean age 27.8 years). The main cause of trauma was assault (52, 33%). Four of 14 patients with penile trauma who were managed conservatively had complications. Of 20 patients, 17 had a partial orchidectomy and were followed for a month after surgery; scrotal ultrasonography showed three cases of testicular atrophy. The mean hospital stay was less for patients with surgical intervention, at 6.4 days, than for those managed conservatively, at 8.7 days (P < 0.05). A visual analogue pain scale showed less pain in patients who were surgically treated (P < 0.05).
  
  
  CONCLUSIONS
  Prompt surgical intervention is crucial; it should be considered by urologists, and is strongly recommended. Ultrasonography was highly sensitive and specific, and should be used in all patients with trauma to the external genital organs, to aid diagnosis and evaluation before surgery.
authors.affiliation: Department of Urology, Gil Medical Center, Gachon University of Medicine and Science, Incheon, South Korea.
authors.forename: Sung Hoon
authors.initials: SH
authors.lastname: Lee
authors.forename: Chong Won
authors.initials: CW
authors.lastname: Bak
authors.forename: Min Ho
authors.initials: MH
authors.lastname: Choi
authors.forename: Han Sae
authors.initials: HS
authors.lastname: Lee
authors.forename: Min Sung
authors.initials: MS
authors.lastname: Lee
authors.forename: Sang Jin
authors.initials: SJ
authors.lastname: Yoon
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005837:Genitalia, Male / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012421:Rupture; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D014463:Ultrasonography; D013521:Urologic Surgical Procedures, Male / Q000592:standards