Injuries to the penis and scrotum

By Medically reviewed by Panel Perubatan Hello Doktor


What are injuries to the penis and scrotum?

Several types of injuries can affect the penis. The penis can be partially or fully severed. Reattachment of a severed penis is sometimes possible, but the extent of recovery of sensation and function varies. Constricting penile rings, applied to enhance erections, can possibly strangle the penis and cause permanent damage. Removing the ring is usually all that is necessary. Penetrating injuries, including animal bites and gunshot wounds, are less common and may also involve the urethra. Surgery may be required to treat injuries of the penis and urethra.

How common are injuries to the penis and scrotum?

Blunt trauma (a strike) causes about 75% of this type of injuries. Examples include:

  • Getting kicked
  • Getting hit by a baseball
  • Motorcycle accident
  • Bicycle accident

Other mishaps can cut or pierce the scrotum and injure the testicles. These include animal bites, bullet wounds, and accidents with machinery.

Please discuss with your doctor for further information.


What are the symptoms of injuries to the penis and scrotum?

The common symptoms of njuries to the penis and scrotum are:

  • Nausea (especially common with testicular torsion)
  • Bruising or discoloration of the scrotum
  • Swelling of the scrotum
  • Blood in the urine
  • Difficulty urinating
  • Fever

When should I see my doctor?

If you have any signs or symptoms listed above or have any questions, please consulting with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.


What causes injuries to the penis and scrotum?

Cuts to the penis

Catching the penis in a pants zipper is common, but the resulting minor cut usually heals quickly. Cuts usually heal quickly if they are simply kept clean, but antibiotics should be taken if the cuts become infected.

Fracture of the penis

Excessive bending can fracture an erect penis. Such bending may occur during vigorous sexual intercourse if the penis is stubbed against the partner’s pelvic bone. The “fracture” is actually a tear in the covering of one of the two tube-like structures in the penis (corpus cavernosum) that hold the extra blood flow that maintains erection.

The man has immediate pain, swelling, and discoloration, and the penis appears deformed. Prompt surgery is usually necessary to repair such fractures to prevent abnormal curvature of the penis or permanent erectile dysfunction.

Risk factors

What increases my risk for injuries to the penis and scrotum?

Please discuss with your doctor for further information.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How are injuries to the penis and scrotum diagnosed?

It’s vital to see your doctor if you have more than a minor testicle injury. Some of these problems, like testicular torsion, are a medical emergency. Some serious injuries can cause you to lose the testicle or cause the testicle to shrink. They may also threaten your future fertility (the ability to have children). Seeing your doctor promptly can lower your chances of these complications.

Quick medical treatment may also help you feel better and get you back to your usual activities faster.

If your doctor suspects that you may experience this condition, a physical examination will be performed and some tests will be also recommended by your doctor. Some common tests may include:

Ultrasound imaging

A health care provider will hold an ultrasound device against your scrotum. This uses painless sound waves to create an image of the testicle and other tissues on a viewing screen.


This creates detailed images of your penis and other structures inside your scrotum.

Exploratory surgery

In some cases, a surgeon will need to make an incision (cut) in your scrotum to look inside it. The surgeon can see which structures are injured, and if needed, treat them during the procedure.

How are injuries to the penis and scrotum treated?

Depending on the severity of your condition, your doctor will recommend you some treatment options or you may be able to treat injuries on your own if it is not serious. However, severe trauma requires treatment from a surgeon or other specialist.

For Damage Caused by Sex

The treatment for a penis “fractured” during sex is most often surgery. This treatment has lower rates of erectile dysfunction, and penile scarring and curvature. Surgery is done under anesthesia so no pain is felt. The most common surgery is to make a cut around the shaft near the head of the penis and pull back the skin to the base to check the inner surface.

For Serious Trauma

For the rare cases where part of the penis has been accidentally cut off, the amputated part should be wrapped in gauze soaked in sterile salt solution and placed in a plastic bag. The plastic bag should then be put into a second bag or cooler with an ice water slush. Do not place any amputated organ into ice water, as the water and direct contact with ice is harmful to tissue.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage injuries to the penis and scrotum?

The following lifestyles and home remedies might help you cope with injuries to the penis and scrotum:

  • Wear a jockstrap when you’re playing sports. If you’re doing an activity that could lead to a hard strike, such as baseball or martial arts, also wear a protective cup. Be sure the cup fits well and is properly placed over your penis and testicles.
  • Wear your seat belt while in a vehicle.
  • Use caution when riding motorcycles and bicycles.
  • Take care near machinery that could snag your clothing or skin. Avoid loose clothing and belts. Follow all safety rules while using machinery.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

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