360 Contemporary Diagnostic Evaluation of Traumatic Penile Injuries

Abstract

The external nature of the male genitalia exposes it to increased risk of traumatic injury. Herein, we sought to evaluate the National Trauma Data Bank (NTDB) to assess the rate of penile injury in order to better understand the evaluation and management of this subset of injured patients. Traumatic cases from 2011 - 2014 were reviewed utilizing the American College of Surgeons National Trauma Data Bank (ACS-NTDB). Patient demographics, incident variables, associated injuries, hospital course, surgical intervention, rate of catheterization, imaging, and disposition were reviewed using the international Classification for Disease (10th edition) codes for penile injuries. 2,257 cases of penile trauma were identified. 71% of victims were under 35 years of age, with 23% of victims 18 years of age and younger. Traumatic injuries included 52% penetrating (N=1196), 35% blunt (N=796), <1% burn (N=1), and 12% unknown. Of these traumatic penile injuries, 15% (N = 342) underwent urethral catheterization, with 13% (N=300) undergoing cystourethroscopy and 6% (N=148) undergoing retrograde urethrogram (RUG). 92% (N = 1095) of penetrating penile trauma and 95% (N=759) of blunt penile trauma did not undergo retrograde urethrogram.