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Background: Generally, severe injuries of the male external genitalia are rare because of the location and mobility of the penis and scrotum. Although injuries to the external genitalia are typically not in and of themselves life threatening, they are commonly associated with other potentially life-threatening injuries. This study is to evaluate the mechanism and type of genital injuries, other associated injuries and management of genital injuries. Methodology: This study was carried out at the Jos University Teaching Hospital, Jos between January 2010 and June 2014.All male patients presenting with external genital trauma at the accident and emergency unit were initially resuscitated by the emergency room team using the ATLS protocol, who then invited the urologist to take over the management.The patients were evaluated for aetiology/ mechanism of injury, type of external genital injury and associated injuries. Modality of treatment was also assessed. Results: Twenty one individuals with external genital trauma were enrolled into the study. The mean age of the patients was 30.62years. There were different mechanisms for the injuries. Gunshot constituted the highest mechanism (n=12) 57.1%. Three patients had blunt injuries (14.3%), while 85.7% had penetrating genital injuries.Ten patients had penile injuries representing 47.6%. Six patients representing 28.6% had scrotal injuries. Of these 28.6%, 5 patients, representing 83.3% had testicular rupture with one patient having bilateral testicular rupture. Five patients had combined penoscrotal injury representing 23.8%. Ten patients (47.6%) had associated injuries. All the patients had surgical intervention. Conclusion: The genital organs are vital in the reproductive process as well as psychological well being of the individual, hence it becomes imperative for prompt and adequate assessment and treatment of injuries of the system.

Male External Genital Injuries; Pattern of Presentation and Management at the Jos University Teaching Hospital