Rarely the penis or scrotum may suffer a gunshot wound.

Patient selection: male with gunshot wound to the penis or scrotum.


Predictors of outcome:

(1) kinetic energy of bullet (with military gunshot wounds usually more destructive)

(2) structures hit

(3) other pelvic injuries (vascular, neural, other)


Injuries may include:

(1) testicular rupture

(2) urethral trauma

(3) damage to corpora cavernosa

(4) damage to the glans

(5) hematoma

(6) penile avulsion or castration


Complications may include:

(1) urethral stricture

(2) erectile dysfunction, often responsive to pharmacological therapy

(3) cosmetic change

(4) infertility

(5) infection

To read more or access our algorithms and calculators, please log in or register.