{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T09:46:44Z","timestamp":1767174404747,"version":"build-2238731810"},"update-to":[{"DOI":"10.12688\/f1000research.52053.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000}}],"reference-count":16,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Background:\u00a0Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention\u00a0may\u00a0lead to loss of fertility due to infections and anatomical disruption of normalcy.\u00a0This study highlights the clinical scenarios, etiology and outcome of male\u00a0genital\u00a0injury cases that were managed at a tertiary care center in Nepal.\u00a0Such injuries are not frequently encountered as patients are hesitant to report such injuries.\u00a0The present study is\u00a0the\u00a0first from Nepal which depicts a comprehensive report on male genital injuries.\u00a0\u00a0<\/ns3:p>\n                  <ns3:p>Methods:\u00a0A retrospective analysis of discharge summaries\u00a0of the cases of male genital injuries was reviewed during\u00a0June\u00a02020. All the treated\u00a0cases\u00a0during the\u00a0two-year\u00a0period from April 2018 to April 2020\u00a0at Lumbini Medical College, Nepal\u00a0were included in the study.\u00a0<\/ns3:p>\n                  <ns3:p>Results:\u00a0There were\u00a0eight\u00a0cases of\u00a0genital\u00a0trauma admitted and treated during the study period. All the\u00a0patients were\u00a0males and age ranged from\u00a0six\u00a0to 71 years with a mean age of\u00a033\u00a0\u00b1\u00a021.45\u00a0years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in\u00a0the\u00a0majority of cases.\u00a0<\/ns3:p>\n                  <ns3:p>Conclusion:\u00a0Superficial injuries\u00a0to\u00a0the\u00a0penis and scrotum do not require surgical exploration and could be managed conservatively. However,\u00a0deeper\u00a0and complicated injuries, testicular preservation, the functionality of the part\u00a0and\u00a0cosmetic issues\u00a0are\u00a0taken into consideration which might require\u00a0a\u00a0multi-disciplinary approach.\u00a0Apart from the\u00a0medical issues pertaining to\u00a0genital injuries, there are\u00a0legal and psychological aspects of such events\u00a0too which should not be\u00a0ignored.<\/ns3:p>","DOI":"10.12688\/f1000research.52053.2","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T05:25:34Z","timestamp":1641446734000},"page":"337","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Male genital injuries\u00a0treated at a tertiary hospital in the western region of Nepal:\u00a0A\u00a0two-year snapshot."],"prefix":"10.12688","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6657-7871","authenticated-orcid":false,"given":"Alok","family":"Atreya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman","family":"Baral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritesh G","family":"Menezes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9189-4510","authenticated-orcid":false,"given":"Samata","family":"Nepal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2022,1,6]]},"reference":[{"key":"ref-1","doi-asserted-by":"publisher","first-page":"128-133","DOI":"10.1016\/j.injury.2007.02.039","article-title":"Aetiology and management of injuries to male external genitalia in Nigeria.","volume":"39","author":"A Ahmed","year":"2008","journal-title":"Injury."},{"key":"ref-2","doi-asserted-by":"publisher","first-page":"790-9","DOI":"10.1007\/s00104-006-1225-0","article-title":"[Management of trauma to the male external genitalia].","volume":"77","author":"A Wille","year":"2006","journal-title":"Chirurg."},{"key":"ref-3","doi-asserted-by":"publisher","first-page":"26-28","DOI":"10.1111\/bju.14167","article-title":"British Association of Urological Surgeons (BAUS) Consensus Document for the Management of Male Genital Emergencies - Penile Fracture.","volume":"122","author":"R Rees","year":"2018","journal-title":"BJU Int."},{"key":"ref-4","doi-asserted-by":"publisher","first-page":"117-26, vii","DOI":"10.1016\/j.ucl.2005.11.003","article-title":"Penile and Genital Injuries.","volume":"33","author":"H Wessells","year":"2006","journal-title":"Urol Clin North Am."},{"key":"ref-5","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.burns.2007.06.005","article-title":"Second-degree chemical burns of the scrotum caused by application of home-made ointment for relief of epididymal pain.","volume":"34","author":"D Kosutic","year":"2008","journal-title":"Burns."},{"key":"ref-6","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1016\/j.injury.2007.08.040","article-title":"Male external genitalia injury caused by 'elephant stampede'.","volume":"39","author":"R Menezes","year":"2008","journal-title":"Injury."},{"key":"ref-7","doi-asserted-by":"publisher","first-page":"187-200","DOI":"10.1080\/00926230590513401","article-title":"Are orgasms in the mind or the body? 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All the changes and edits that you have suggested are incorporated in the revised version.","URL":"https:\/\/f1000research.com\/articles\/10-337\/v2#referee-comment-7487","order":1,"name":"referee-comment-7487","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.55279.r100604, Raghvendra Singh Shekhawat, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, Jodhpur, Rajasthan, India, 22 Nov 2021, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/10-337\/v1#referee-response-100604","order":2,"name":"referee-response-100604","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>Samata Nepal<\/b>; \n<i>Posted: 23 Nov 2021<\/i>; Thank you for your time reviewing our manuscript and for your positive feedback. As the manuscript focused upon all the cases of male genital injuries treated at Lumbini Medical College, the study did not include genital injuries in females. As this was a prevalence study we did include all the cases during the two-year period (2018- 2020). Although genital injuries are not uncommon, most of the cases go to the specialty hospital with an uro-surgery facility, which is one of the reasons for the small sample size in the present study. We value your suggestion and would conduct future studies with a larger time frame and large sample.","URL":"https:\/\/f1000research.com\/articles\/10-337\/v2#referee-comment-7486","order":3,"name":"referee-comment-7486","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":4,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}