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Penile trauma

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of penile trauma are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2025), the American Urological Association (AUA 2023,2014), the World Society of Emergency Surgery (WSES/AAST 2019), and the British Association of Urological Surgeons (BAUS 2018).
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Diagnostic investigations

History and physical examination: as per EAU 2025 guidelines, evaluate for urethral injury in patients with penile fracture.
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  • Ultrasound

  • Urethrography and urethroscopy

Surgical interventions

Indications for surgery: as per EAU 2025 guidelines, perform surgery with the closure of tunica albuginea for the treatment of patients with penile fractures.
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Specific circumstances

Patients with penile amputation: as per AUA 2014 guidelines, perform prompt penile replantation in patients with traumatic penile amputation with the amputated appendage wrapped in saline-soaked gauze, in a plastic bag, and placed on ice during transport.
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  • Patients with urethral injury

  • Patients with testicular trauma (evaluation)

  • Patients with testicular trauma (management)

Patient education

General counseling: as per AUA 2014 guidelines, provide psychological, interpersonal, and/or reproductive counseling and therapy in patients with genital trauma when loss of sexual, urinary, and/or reproductive function is anticipated.
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