Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery.
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.
Lee
Sung Hoon
SH
Department of Urology, Gil Medical Center, Gachon University of Medicine and Science, Incheon, South Korea.
Bak
Chong Won
CW
Choi
Min Ho
MH
Lee
Han Sae
HS
Lee
Min Sung
MS
Yoon
Sang Jin
SJ
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