Injuries to the Lower Urogenital Tract and Genitalia

Injury to the lower urinary tract may involve multiple organs depending on the mechanism of injury, often requiring the collaboration of both trauma and orthopedic surgeons. Although blunt trauma to the lower urogenital tract and genitalia is much more common than penetrating trauma, both mechanisms of injury can produce life-altering injury. Prompt diagnosis is imperative for optimal outcomes and may require computed tomography, ultrasonography, and urethrography to delineate the extent of injury. The nature and variety of injuries require a combination of minimally invasive, open, and plastic surgical techniques for optimal management. Particular attention is required for possible female reproductive organ injury, particularly in the setting of sexual assault.   Key words: bladder injury, penile amputation, penile fracture, penile injury, scrotal trauma, urethral injury, urogenital trauma