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Language	Japanese
The announcement title	JUA guidelines on urological trauma:genital trauma
Academic Society name	The 110th Annual Meeting of the Japanese Urological Association
Conference Type	Domestic Society
Invitation	Invitation
Announcement form	Oral presentation
Presentation Type	Symposium/Workshop/Panel Discussion
Lecture Type	シンポジウム・ワークショップ パネル（指名）
Publisher and common publisher	Inoue Koji, Iijima Kazuyoshi, Takao Tetsuya, SekineKazuhiko, Yagihashi Yusuke, Inoue Takamitsu, Kanematsu Akihiro, Sugihara Toru, Tabei Tadashi, Tamura Yoshimi, Yanagi Masato, Horiguchi Akio, Nakajima Yosuke
Date	2023/04/22
Country	Japan
Holding period	2023/04/20～2023/04/23
Society abstract	SY34-4 2023
Description	Penile fracture: Sexual intercourse, forced penile bending, and masturbation are the most common causes. A popping sound at the time of injury, pain, immediate loss of erection, and penile swelling and curvature are characteristic clinical symptoms. Bleeding from the urethral orifice and gross hematuria suggest possible urethral injury. Useful imaging studies are ultrasound and magnetic resonance imaging. Repair of the tunica albuginea using absorbable sutures is a common treatment. Postoperative complications include induration of the repair site, penile curvature, and erectile dysfunction. Testicular rupture: Blunt trauma from traffic accidents, assault, or sports is the most common causes. Scrotal swelling and tenderness are characteristic clinical symptoms, but are not specific. Ultrasound is the first-line imaging modality. Loss of the continuity of the tunica albuginea and heterogeneous testicular parenchyma are characteristic ultrasound findings. Debridement and repair of the tunica albuginea are a common treatment. Penile amputation: Self-injury is the most common cause. If the amputated penis is well preserved, microsurgical re-implantation is recommended, ideally in a facility where a microsurgery specialist, urologist, emergency physician, and psychiatrist can collaborate in the treatment.