Health Encyclopedia

Genital injury

Definition

A genital injury is an injury to the genitals or perineum, the area between the legs.

Alternative Names

Scrotal trauma; Straddle injury; Toilet seat injury

Considerations

Genital injuries can be very painful and can bleed heavily. It can affect the reproductive organs as well as the bladder and urethra. The amount of damage can range from minimal to severe. Temporary as well as permanent damage can be done.

Young girls (usually less than 4 years of age) may insert foreign objects into the vagina as part of a developmentally-normal exploration of the body. These objects may include toilet tissue, crayons, beads, pins, or buttons.

To rule out sexual abuse, the young girl should be asked by the health care provider how the object got in her vagina.

In cases of rape or sexual abuse, a medical examination is necessary. It is essential for the victim's health as well as to prevent the spread of infectious diseases.

In young boys, one of the most common causes of genital injury is having the seat slam down while they are using the toilet. Another common cause of genital injuries is having the feet slip while they are climbing or playing (such as on monkey bars) and landing with the legs on each side of the bar (straddle injury). Falling onto the crossbar of a bicycle is also a common cause of straddle injury to the genitals.

Another cause of genital trauma in young boys is entrapment of the scrotum, penis, or foreskin in a zipper. This may occur while the zipper is either opened or closed. The injury may be minimal or significant enough to require medical attention.

Causes

Foreign body placed in the vagina
Assault
Rape
Sexual abuse
Zipper injury
Trauma

Symptoms

Abdominal pain
Bleeding
Bruising
Affected area has changed in shape
Faintness
Object embedded in a body opening
Groin pain or genital pain (can be extreme)
Swelling
Urine drainage
Vomiting
A wound
Urination, painful or inability to urinate
Foul-smelling vaginal discharge

First Aid

Reassure the victim and try to keep them calm. As first aid is administered, be sensitive to the victim's privacy -- shield the injured area.
To control bleeding, use direct pressure. Place a clean cloth or sterile dressing on any open wounds. If the vagina is bleeding severely, pack the area with sterile gauze or clean cloths unless a foreign body is suspected.
Apply cold compresses to help reduce swelling.
If the testicles have been injured, support them with a sling made from towels and applied like a diaper.
If an object is embedded in a body opening or wound, leave it alone. Taking it out may cause further damage.
Seek medical attention.

Do Not

DO NOT overlook the possibility of internal bleeding.
DO NOT volunteer your opinions about the circumstances.
DO NOT accuse or confront the victim.
DO NOT disturb possible evidence of assault or abuse, unless a medical emergency exists. If you suspect assault or abuse, do not allow the victim to change clothes, bathe, or shower.
DO NOT allow the victim to walk, unless absolutely necessary.
DO NOT attempt to remove a foreign body yourself.

Call immediately for emergency medical assistance if

There is any pain or swelling in the genital area
The foreign body was sharp
There is bleeding
There is concern about sexual abuse
The patient is unable to urinate
The urine is bloody

Prevention

Teach safety to young children and create a safe environment for them. Also, keep small objects out of the reach of toddlers.

Review Date:7/23/2007
Reviewed By:Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.

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