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Scrotal Injury

The penis and scrotum are at risk for injuries. All the common skin injuries can occur.
Cut. Minor cuts or scrapes heal quickly.
Bruise. Minor bruises heal quickly.
Penetrating Injuries (serious). Puncture injures, whether due to a fall or impact with a sharp object, will need checked at the ER.
Zipper Injury. The foreskin or skin on the penis can get caught on a zipper. You may want a doctor to help with removal.

Urethral Injury (serious). The urethra passes through the entire penis. It can be injured by a kick to the groin or a straddle injury. Also, from putting objects into the urethra through the opening at the tip of the penis. The urethra can be bruised or torn. The main symptoms are bloody urine and trouble passing urine.
Painful Scrotum. A blow to the testicle(s), such as during sports or by being kicked, will often cause severe pain. If there was no damage, the pain should go away within 30 minutes. If it persists, you need to be examined.
Swollen Scrotum (serious). Any scrotal swelling from an injury needs to be examined. It may be minor, but you need to rule out any other problems. With a severe blow, the testis can burst (rupture).
Ruptured Testicle (serious). A direct blow to the scrotum can also cause a tear of the capsule around the testicle. To save the testicle, this needs emergency surgery. The main symptoms are severe pain and a swollen scrotum.
Hematoma (Blood Clot) of Scrotum. Blunt trauma can cause a large blood clot to form inside the scrotum. Sometimes, it needs to be drained. This can happen from being hit by a ball or a kick. The main symptoms are severe pain and a swollen scrotum.

An injury to the groin from falling on an object that is being straddled.
Examples are the crossbar of a bike or a fence.
The urethra can be bruised or torn. The urethra allows urine to pass from the bladder to outside the body.
A symptom of a damaged urethra is blood at the penis opening. Other symptoms are bloody urine, trouble starting the stream or pain when passing urine.

Burns or Scalds. Cool the area right away with cold running water and go to ER. Burns or scalds to the genitals may need care by a specialist.
Fractured Penis (serious) can occur during rough sexual activity or masturbation. You may hear a snap or pop sound and the penis is painful and swollen right away; there is loss of the erection. The penis will look misshapen and bruised. This is an emergency and needs surgery.
Constricting Objects such as penile rings can get stuck and cause a persistent erection and increasing swelling of the penis. Go to the ER to get the ring removed to prevent serious and permanent damage to the penis.

When to Call for Scrotal Injury
Call 911 Now Major bleeding that can't be stopped Passed out (fainted) or too weak to stand You think you have a life-threatening emergency Call Doctor or Seek Care Now Skin is cut and No past tetanus shots Swollen or painful scrotum Pain or trouble passing urine Blood in urine, semen or at the penis opening You think you need to be seen, and the problem is urgent	Contact Doctor Within 24 Hours Genital pain or swelling lasts more than 1-2 days Dirty cut or hard to clean and no tetanus shot for more than 5 years Clean cut and no tetanus shot for more than 10 years You think you need to be seen, but the problem is not urgent Contact Doctor During Office Hours You have other questions or concerns	Self Care at Home Minor genital injury

For any bleeding, put direct pressure on the wound. Use a gauze pad or clean cloth. Press for 10 minutes without taking the pressure off, or until the bleeding has stopped.
Note: minor cuts in the genital area can bleed a lot. This is because of the rich blood supply.
For the same reason, the cut heals quickly.

Wash the wound with soap and water for 5 minutes. It may be easier to do this in the shower or bath.
For any dirt, scrub gently with a clean wash cloth.
Put on an antibiotic ointment (such as Polysporin). No prescription is needed. Use 2 times per day.

To help with the pain, take an acetaminophen product (such as Tylenol).
Another choice is an ibuprofen product (such as Advil). Ibuprofen works well for this type of pain.
Use as needed, but do not take more than the maximum recommended dosage as stated on the package.
If you are not sure what to take, ask a pharmacist.