Most genital injuries occur in men and may involve injury to the testes, scrotum, and penis. Severe genital injuries occur most commonly on the battlefield, usually from ground explosives.
Several types of injuries can affect the penis. The penis can be partially or fully severed. Reattachment of a severed penis is sometimes possible, but the extent of recovery of sensation and function varies. Constricting penile rings, applied to enhance erections, can possibly strangle the penis and cause permanent damage. Removing the ring is usually all that is necessary. Penetrating injuries, including animal and human bites and gunshot wounds, are less common and may also involve the urethra. Surgery may be required to treat injuries of the penis and injuries of the urethra Urethral Injuries The urethra is the tube that carries urine from the bladder outside the body. In men, the urethra runs through the middle of the penis. Most urethral injuries occur in men. Common causes include... read more .
Removing the clitoris in females (female genital mutilation) Female Genital Mutilation Female genital mutilation is ritual removal of part or all of the external genitals. The female external genitals include the clitoris (a small bump on the female genitals that is sensitive... read more , which is done in some cultures, is also a form of genital trauma.
(See also Overview of Urinary Tract and Genital Injury Overview of Urinary Tract and Genital Injury The kidneys and the rest of the urinary tract (the bladder, ureters [tubes that carry urine from the kidneys to the bladder], and urethra) may become injured in a number of ways. Examples include... read more .)
Catching the penis in a pants zipper is common, especially in children, but the resulting minor cut usually heals quickly. The goal is to simply keep these clean; antibiotics should be taken if the cuts become infected.
If a zipper becomes stuck on the skin of the penis or scrotum, the zipper can be removed by using a sturdy wire cutter (diagonal cutter) to cut the bar on the top of the zipper slider, which connects its front and back plates. Then the slider falls off in 2 pieces, and the zipper teeth come apart readily.
Excessive bending can fracture an erect penis. Such bending may occur during vigorous sexual intercourse if the penis is stubbed against the partner’s pelvic bone. Fracture of the penis may also involve a urethral injury. The “fracture” is actually a tear in the covering (tunica albuginea) of one of the two tube-like structures in the penis (corpus cavernosum) that hold the additional blood flow that maintains erection.
The man has immediate pain, swelling, and discoloration, and the penis appears deformed. Prompt surgery is usually necessary to repair such fractures to prevent abnormal curvature of the penis Peyronie Disease Peyronie disease is a fibrous thickening that contracts and deforms the penis, distorting the shape of an erection. Many men have a small degree of curvature of their erect penis. Peyronie disease... read more or permanent erectile dysfunction Erectile Dysfunction (ED) Erectile dysfunction (ED) is the inability to attain or sustain an erection satisfactory for sexual intercourse. (See also Overview of Sexual Dysfunction in Men.) Every man occasionally has... read more .
The location of the scrotum makes it susceptible to injury. Blunt forces (for example, a kick or crushing blow) cause most injuries. However, occasionally gunshot or stab wounds penetrate the scrotum and testes. Rarely, the scrotum can develop severe and rapidly progressive infections such as gangrene Gas Gangrene Gas gangrene is a life-threatening infection of muscle tissue caused mainly by the anaerobic bacteria Clostridium perfringens and several other species of clostridia. Gas gangrene can develop... read more . If gangrene develops, the involved tissues are surgically removed and the man is given broad-spectrum antibiotics by vein (intravenously). Reconstructive surgery can be done after the infection is controlled.
Testicular injury causes sudden, severe pain, often with nausea and vomiting. Ice packs, a jockstrap, and drugs for pain and nausea usually effectively treat a bruised testis (bleeding in and around the testis). Ultrasound examination is done to confirm whether the testis has ruptured. A ruptured testis requires surgical repair. Injury to the testis can destroy the capacity for sperm or sex hormone (mainly testosterone) production. If both testes are injured, testosterone replacement may be necessary. If only one testis is injured, the remaining testis usually produces as much testosterone as the body needs.