[Faline]

Trauma literature regarding management of genitalia trauma affecting future fertility and gonadal function in the face of coexisting life-threatening injuries is underdeveloped. We present a unique case that necessitated integrative management of a 24-year-old male who became entangled within the blades of a manure spreader and presented with life-threatening trauma in addition to severe genital trauma, including penile degloving, bilateral testicular avulsion and bilateral spermatic cord laceration. During the initial stabilization and surgical management, urology and plastic surgery were consulted to assess the urogenital injuries. Together, the surgical team orchestrated potentially life-saving interventions while successfully performing both a testicular sperm extraction and a testicular revascularization. Viable sperm was collected on the day of surgery and initial follow-up showed preserved sexual function and adequate perfusion to the testicle. This report presents a case and provides a review discussing the management of traumatic genital injuries and the importance of early involvement of surgical specialties in genitalia trauma to optimize future fertility and gonadal function. The literature search was performed in August 2008 using Medline for articles only in English, including any of the following terms: polytrauma, trauma, penis, testicle, degloving, avulsion, spermatic cord, laceration, fertility, reproduction or revascularization.

Partial repair of the inguinal injury including microsurgical anastomosis of left inferior epigastric artery and vein to the left testicular artery and vein respectively and testicular sperm extraction. The complex penile and scrotal lacerations were closed primarily.

[denmetal80]

omfg my crotch hurts just seeing that

[woddie]

Trying to sow his wild oats. Thank you thank you, I'll be here all week.

[**butterflylove**]

Wow! Good to know they thought of his future, fertility and sexual function as well as saving his life

[Brainplague]

That man was sooo lucky...should've bought a lottery ticket. Sheesh that was brutal!

[durt]

"severe genital trauma, including penile degloving, bilateral testicular avulsion and bilateral spermatic cord laceration"

In layman's terms, would that be like: "getting your nuts cut off"

[Pyramid_Head]

Bet that felt like shit.

[collaredgirl65]

Ouch.

[Usotsuki]

*crosses legs and I don't even have a dick...*

[Dynamo47]

WTF did he try to dry hump a manure spreader!