injuries and poisoning
Genital Injuries
Injury of the scrotum and testes
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 Gas Gangrene . If gangrene develops, the involved tissues are surgically removed and the person 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 (mainlytestosterone) production. If both testes are injured,testosteronereplacement may be necessary. If only one testis is injured, the remaining testis usually produces as muchtestosteroneas the body needs. 