title: The psychological challenge of genital injury.
abstract: BACKGROUND
  Injuries sustained from Improvised Explosive Devices (IEDs) can have a devastating impact on bodily integrity; physical injuries can be severe and include traumatic amputation of limbs, pelvic fracture, abdominal trauma, extremity fragmentation wounds and genital trauma. Soldiers suffering from genital trauma can experience overwhelming emotions and adjusting to their injuries is a process that occurs over time, that some find easier than others. This paper explores current practice and identifies guidelines for psychological interventions within this arena.
  
  
  METHODS
  Relevant associated literature has been reviewed to identify the long-term consequences of genital trauma and to ascertain best practice in supporting this patient population. Current practices within the Royal Centre for Defence Medicine (RCDM) and the Defence Medical Rehabilitation Centre (DMRC) Headley Court have been explored.
  
  
  RESULTS
  There is little published literature in this area. Therefore, in respect of guiding treatment of this patient population, related research on the psychological consequences of prostate and penile cancer, limb amputation, acquired infertility and acquired disability has been used as a base to inform interventions. Current practices at RCDM and DMRC have been found to support interventions within related areas.
  
  
  CONCLUSIONS
  There is no published evidence base to guide psychological interventions for genital trauma. Professional multidisciplinary intervention will potentially be beneficial in establishing the long-term needs of this patient population, together with qualitative research exploring the experience of soldiers suffering genital trauma.
authors: Defence Clinical Psychology Service, Joint Medical Command, Defence Medical Rehabilitation Centre Headley Court, Leatherhead, Surrey, UK. wendy.frappell-cooke877@mod.uk
authors: W
authors: W
authors: Frappell-Cooke
authors: P
authors: P
authors: Wink
authors: A
authors: A
authors: Wood
mesh_terms: D000223:Adaptation, Psychological; D001753:Blast Injuries / Q000150:complications / Q000523:psychology* / Q000628:therapy; D019091:Critical Pathways; D003863:Depression / Q000209:etiology; D005107:Explosions; D005837:Genitalia, Male / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007248:Infertility, Male / Q000209:etiology / Q000523:psychology*; D007989:Libido; D008297:Male; D008889:Military Personnel / Q000523:psychology*; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000523:psychology*; D006113:United Kingdom