Genitourinary Trauma
نویسندگان
چکیده
EXTERNAL GENITALIA The male external genitalia consist of the penis, scrotum, testicles, and ejaculatory complex. The female external genitalia consist of the vagina and vulva; the latter includes the labia majora, labia minora, and clitoris. Injuries to the external genitalia may occur by blunt or penetrating mechanisms or by circulatory compromise induced by constricting devices applied either accidentally (as in the case of a hair tourniquet) or intentionally (e.g., to enhance sexual performance and pleasure). Additionally, the skin of the penis, scrotum, or labia may become ensnared by a metal zipper. Blunt trauma mechanisms include a kick or other direct blow to the genitals, falls, and straddle injuries. Penile fracture is a blunt injury that occurs when an erect penis is bent suddenly and forcefully, with rupture of the tunica albuginea of one or both of the corpora cavernosa. This injury occurs most commonly during sexual intercourse when the penis slips out of the vagina and strikes the partner’s pubis or perineum, but it may also occur during masturbation. Significant injury to the external genitalia may accompany pelvic fractures. Penetrating injuries may be inflicted by gunshot wounds, knives, or other sharp objects.
منابع مشابه
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تاریخ انتشار 2013