title: Analysis of nonsexual injuries of the male genitals in children and adolescents.
abstract: OBJECTIVE
  This study analysed nonsexual male genital injuries in boys with regards to aetiology, age, management and outcome.
  
  
  METHODS
  Patients were identified from the hospital database (between 1999 and 2009) were analysed retrospectively.
  
  
  RESULTS
  Seventy-four patients (2-17 years) were identified which included 24 toddlers and small children (2-5 years), 36 school age children (6-12 years) and 14 adolescents (13-17 years). Traumas were related to falls (n=14), kicks (n=11), sport (n=10), toilet seats (n=9), motor vehicles (n=8), bicycle (n=4), outdoor activities (n=4) and others causes (n=14). The leading cause of injuries in (i) toddler and small children was related to toilet seat (n=7) and falls (n=7), (ii) school age children to sport (n=8), kicks (n=7) and falls (n=6), and (iii) adolescents to motorcycle accidents (n=5). There were 45 scrotal and 29 penile injuries ranging from lacerations to contusions. Sixty-eight patients required hospital stay (0.5-36 days, Σ=2.4 days). Follow-up examinations were uneventful, except for one minor wound infection.
  
  
  CONCLUSIONS
  Nonsexual traumas to the male external genitalia occur mostly in 6- to 12-year-old boys, with sport accidents, kicks and falls being the major causes. Scrotal and penile lacerations and testicular contusions are the most common injuries. Complications after injuries to the male genitals in children are rare.
authors.affiliation: Department for Pediatric- and Adolescent Surgery, Medical University of Graz, Graz, Austria.
authors.forename: E E
authors.initials: EE
authors.lastname: Widni
authors.forename: M E
authors.initials: ME
authors.lastname: Höllwarth
authors.forename: A K
authors.initials: AK
authors.lastname: Saxena
mesh_terms: D000058:Accidental Falls; D000059:Accidents; D000293:Adolescent; D001265:Athletic Injuries / Q000209:etiology / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010413:Penis / Q000293:injuries*; D012189:Retrospective Studies; D012611:Scrotum / Q000293:injuries*; D016896:Treatment Outcome