Genital injury

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Female reproductive anatomy

Male reproductive anatomy

Normal female anatomy

Scrotal trauma; Straddle injury; Toilet seat injury

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. Seek medical attention.

• 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.

• There is any pain or swelling in the genital area
• The foreign body was sharp
• There is bleeding
• There is concern about sexual abuse
• The patient is unable to urinate
• The urine is bloody

Review Date: 10/20/2005
Reviewed By: David R. Knowles, M.D., Advanced Urologic Surgeons, Mt. Vernon, IL. Review provided by VeriMed Healthcare Network.