Genital injury

Alternative names:

injury to the genitals; scrotal trauma; straddle injury; toilet seat injury

First aid:

1. Reassure the victim and try to keep them calm. As first aid is administered, be sensitive to the victim's privacy - shield the injured area.

2. To control bleeding, use direct pressure. Place a clean cloth or sterile dressing on any open wounds. If the vagina is bleeding severely, pack the area with sterile gauze or clean cloths unless a foreign body is suspected.

3. Apply cold compresses to help reduce swelling.

4. If the testicles have been injured, support them with a sling made from towels and applied like a diaper.

5. If an object is embedded in a body opening or wound, leave it alone. Taking it out may cause further damage.

6. Get medical help.

Do not:

• DO NOT overlook the possibility of internal bleeding.
• DO NOT volunteer your opinions about the circumstances.
• DO NOT accuse or confront the victim.
• DO NOT disturb possible evidence of assault or abuse unless a medical emergency exists. If you suspect assault or abuse, do not allow the victim to change clothes, bathe, or shower.
• DO NOT allow the victim to walk unless absolutely necessary.
• DO NOT attempt to remove a foreign body yourself.

Call immediately for emergency medical assistance if:

• there is any pain or swelling in the genital area.
• the foreign body was sharp.
• there is bleeding.
• there is concern about sexual abuse.