injuries poisoning
Genital Trauma
Treatment of Genital Trauma
Sometimes surgical repair Patients with penetrating testicular injuries or clinical or sonographic characteristics that suggest testicular rupture require surgical exploration and repair. Similarly, all penile fractures and penetrating injuries should be surgically explored and the defects repaired. Penile amputations should be repaired by microsurgical reimplantation if the amputated segment is viable. Nonoperative management is appropriate for some genital injuries. Strangulation injuries can usually be managed simply by removing the constricting agent, which may require the use of metal cutters. Animal and human bites involving the genitalia should be managed with copious irrigation, appropriate debridement and antibiotic prophylaxis; primary wound closure is contraindicated. Zipper injuries should be managed by removing the top of the zipper slider (see Female and male gametogenesis ). Necrotizing scrotal infections require broad-spectrum antibiotic coverage and immediate surgical debridement. Often a cystotomy is required for urinary diversion. and then make one attempt to unzip the zipper. If this attempt is unsuccessful, use a sturdy wire cutter (diagonal cutter) to cut the median 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. (For a step-by-step description of the procedure, see How To Remove a Zipper From a Penis .) 