injuries poisoning
Genital Trauma
Diagnosis of Genital Trauma
Clinical evaluation Ultrasonography (for testicular injury) Retrograde urethrography (for penile injuries with possible urethral involvement) Diagnosis of external scrotal and penile injuries usually can be made based on physical examination alone. Imaging, such as MRI and sonography, can be considered in equivocal cases of penile trauma. An x-ray with urethral contrast (retrograde urethrography) should be done for penile fracture or penetrating penile trauma when urethral injury is suspected (eg, with gross hematuria or inability to void). Clinical diagnosis of testicular contusions and ruptures can be difficult because the degree of injury may be out of proportion to the physical findings, so patients with blunt testicular injury typically require scrotal ultrasonography. 