Male reproductive organ trauma

　　Male external genitalia are exposed to the outside, and trauma occurs due to violent blows. For example, football players may be hit by a strong football or injured in the scrotum; improper use of force during certain physical labor, such as being struck by a stick, stone, or tool, etc., in the scrotum area. At the same time, due to the function of sexual behavior, male reproductive organ trauma can also be related to trauma related to sexual behavior.

　　1, Penile trauma is prone to complications such as hematoma and priapism, and due to the rich blood supply of the penile tissue, it can cause a large amount of bleeding. When the amount of bleeding exceeds more than 20% of the systemic circulation, shock may occur.

　　2, Trauma to the scrotum or testicles can cause vascular injury, testicular edema, and tunical hematoma, which may lead to hardening and atrophy of the testicles after absorption and organization, potentially affecting fertility and sexual dysfunction.

　　1. The severity of penile trauma varies with the direction and magnitude of the external force, with common symptoms including pain, swelling, hematuria, and urinary obstruction.

　　2. After scrotal trauma, there may be bleeding and swelling, the skin of the scrotum may become purple or black, and severe pain may occur.

　　3. After testicular trauma, severe pain may radiate to the lower abdomen, lumbar region, or even the upper abdomen, and in severe cases, shock may occur. A large hematoma may form in the scrotum, and the scrotal wall may become bruised and purple.

　　Penile trauma is usually caused by male aggressive behavior or due to inattention during play by adolescents. The following aspects should be paid attention to for scrotal trauma:

　　1. In the first two days after the reproductive organ is struck by a hard object, observation and rest are needed, and the suspension and activity of the scrotum should be reduced to avoid exacerbating bleeding due to vibration. If it is necessary to get out of bed and move around, it is best to wear a cloth scrotal support to reduce the range of motion of the scrotum and alleviate pain.

　　2. In the first two days after reproductive organ injury, attention should also be paid to the swelling of the scrotum. If the scrotum swells rapidly and is accompanied by excessive sweating, cold extremities, pale complexion, or if the scrotum has ruptured or the testicle has been exposed, it should be sent to the hospital for emergency treatment immediately.

　　3. After 1 to 2 days of reproductive organ injury, it is necessary to apply cold water or ice water to the scrotum to reduce bleeding and achieve hemostasis. After two days, hot compresses should be used instead, the purpose of which is to accelerate blood circulation in the scrotum and absorb the accumulated blood in the scrotum as soon as possible.

　　At the same time, boys should not be too aggressive in playing and fighting, and attention should be paid to protecting vital areas, such as the reproductive organs. Excessive movement can cause physical injury to companions or relatives.

　　1. Penile injury can often be correctly diagnosed based on the history of trauma and local manifestations, and usually does not require special examination. Corporal cavernosography can reflect the location and extent of cavernosal injury. The characteristics of ultrasound images include abnormal thickness and continuity of the layers of tissue in the penis, and local low echoic hematoma can be found. CDI observation shows abnormal blood flow signal distribution.

　　2. The scrotum, being exposed on the surface of the body, is easy to diagnose the location and extent of injury. Ultrasound examination helps in correctly judging scrotal hematoma and determining whether the testicle is injured; it also helps determine the indications for surgical exploration, such as testicular rupture or foreign body retention.

　　3. Diagnosis of simple testicular injury is not difficult through medical history and physical examination, but testicular injury often accompanies scrotal hematoma and scrotal injury, which must be confirmed by auxiliary examinations such as ultrasound or even CT. However, the latter, as a radiographic examination, can cause damage to spermatogenic function and should be avoided as much as possible. Sometimes, it is difficult to distinguish between testicular hematoma in the late stage (after 3 months) and testicular tumor, and CT thin-section scanning can be used for diagnosis.

　　What should be eaten for the good of the body in case of male reproductive organ trauma?

　　1. A light diet is recommended, and foods rich in vitamins B1, B2, and B6, such as beans and grains, can be consumed more frequently.

　　2. Diversified food types, high in protein, high in vitamins, high in calories, and easy to digest, such as animal liver, eggs, lean meat, dairy products, seafood, jujube, etc.

　　2. Foods that men with genital trauma should not eat

　　Pay attention to not eat spicy food, drink alcohol, and eat刺激性食物 in diet. These can cause blood vessel congestion.

　　1. Penile Trauma

　　1. Penile Contusion: Generally, it can heal spontaneously. If there is a marked hematoma, aspiration or incision and drainage can be performed.

　　2. Penile Fracture: Early surgery, removal of hematoma, and suture of the white membrane.

　　3. Penile Strangulation: Principle of removal (removal) of foreign ring without additional injury.

　　4. Penile Dislocation: Surgical reduction.

　　5. Penile Amputation: Replantation or reconstruction.

　　6. If there is urethral injury, urethral repair and suprapubic cystostomy should be performed.

　　2. Scrotal Trauma

　　After scrotal injury, the patient should rest quietly, and the scrotum should be supported with a bandage. Local cold compress should be applied. After 2-3 days, hot compress should be used to promote the absorption of the hematoma. When the hematoma is large, use Dahuang powder or Dabai Li powder, mixed with vinegar for external application. Take Dida Wan and Yunnan Baiyao internally. When there is a large hematoma and a lot of effusion, the doctor should perform puncture and aspiration of the effusion, and inject hyaluronidase 1500u to accelerate the absorption of the hematoma. When the hematoma becomes hardened, use traditional Chinese medicine: Chenglingxian 15g, Honghua 1g, Chishao 10g, Luoshiteng 10g, Gancao 10g, Congxu 10g, decocted with wine for external washing. Take Dahuoluo Dan, 654-2 tablets, or ask a traditional Chinese medicine doctor for medicine. If there are symptoms of infection and fever, antibiotics should be used. During the treatment period, sexual activity should be avoided, and massage, hot compress, and arbitrary medication should be avoided. If there are any problems, medical attention should be sought in a timely manner.

　　3. Testicular Trauma

　　The key to treating testicular trauma is early surgery and exploration, which can significantly reduce the rate of orchidectomy. During the operation, the extent of injury is determined, and efforts are made to preserve the testicle. For those with orchidectomy or postoperative testicular atrophy due to insufficient male hormone secretion, male hormone therapy or testicular transplantation should be supplemented. The operation should stop bleeding completely, strict aseptic technique should be used, and appropriate antibiotics should be applied postoperatively to avoid hematoma and infection that further damage the testicle.