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Genital injury - Treatment

Alternative Names

Scrotal trauma; Straddle injury; Toilet seat injury

First Aid:

  1. 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.
  2. 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.
  3. Apply cold compresses to help reduce swelling.
  4. If the testicles have been injured, support them with a sling made from towels and applied like a diaper.
  5. If an object is embedded in a body opening or wound, leave it alone. Taking it out may cause further damage.
  6. 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
  • Reviewed last on: 7/23/2007
  • Marc Greenstein, DO, Urologist, North Jersey Center for Urologic Care, Denville, NJ. Review provided by VeriMed Healthcare Network.
     
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