|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|
|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|
|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.