Objectives

To describe our experience with men admitted to a tertiary care hospital with genital injury.

Methods

Adult men with injuries of the genitals, admitted to our institution between January 2013 and June 2018, were identified from our institutional trauma registry. Patient charts were queried to extract mechanism, management, follow-up, and complications.

Results

118 men met inclusion criteria. 39% and 61% sustained penetrating and blunt injuries, respectively. The most common mechanisms of penetrating trauma were external violence (48%) and self-inflicted injury (40%). The most common mechanisms of blunt trauma were motorcycle crash (33%) and sexual injury/intercourse (22%). 38% presented with penile and 71% with scrotal injuries. 48% of men with scrotal injuries had concomitant testis injury. 9.3% presented with both a penile and a scrotal injury. Concomitant urethral injuries were found in 17% of all genital injuries. Genital trauma was more common in the summer months. 74% of all genital injuries were managed operatively, with surgery more common after penetrating injury (89% vs 64%, p value < 0.01). 73% of 84 men with scrotal trauma were managed operatively. 27 men received surgical intervention for testis rupture, with a testicular salvage rate of 44%. 60 (51%) patients presented for follow-up. The median length of follow-up from initial injury was 29 (± 250) days. Of these, 9 (15%) patients developed one or more complications

Conclusions

Genital injuries can occur via numerous mechanisms and frequently require operative intervention. Concomitant urethral injury is common. More work is needed to evaluate the long-term sequelae of these injuries.

中文翻译：

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1级创伤中心的男性生殖器创伤。

目标

描述我们与因生殖器受伤而入住三级医院的男性的经历。

方法

从我们的机构创伤登记处确定了2013年1月至2018年6月期间收治于我们机构的生殖器受伤的成年男性。查询患者图表以提取机制，处理，随访和并发症。

结果

118名男性符合纳入标准。分别遭受39％和61％的穿透伤和钝伤。穿透创伤最常见的机制是外部暴力（48％）和自我伤害（40％）。钝器受伤最常见的机制是摩托车撞车（33％）和性伤害/性交（22％）。38％表现为阴茎，71％表现为阴囊损伤。阴囊损伤男性中有48％伴有睾丸损伤。9.3％的人同时患有阴茎和阴囊损伤。在所有生殖器受伤中，有17％伴随尿道受伤。在夏季，生殖器​​外伤更为常见。所有生殖器损伤中有74％是通过手术治疗的，穿透性损伤后手术更为常见（89％vs 64％，p值<0.01）。84例阴囊创伤患者中有73％接受了手术治疗。27名男性因睾丸破裂接受外科手术治疗，睾丸挽救率为44％。60名（51％）患者进行了随访。初始损伤后的中位随访时间为29（±250）天。其中9（15％）位患者出现了一种或多种并发症

结论

生殖器损伤可通过多种机制发生，并且经常需要手术干预。伴随尿道损伤是常见的。需要更多的工作来评估这些伤害的长期后遗症。