07 April 2006

Oh, that's gotta hurt . . .

It's getting warm outside. That's the only explanation I can see for the fact that in the past two days I have sewn up three little boys between the ages of 5 and 10 years old who had sustained lacerations to their genitals.

Yeah, ouch.

Two were to the scrotum. They were both standard straddle injuries. One was from falling off a bike, the other from falling on ladder coming down from a treehouse. Standard kid stuff, really. Contusions and a small cut, four or five stitches. They boh managed to not injure the testicles at all. Whew.

The other was a sweet very very dirty little 5 year old who was peeing in the potty when the lid fell. Yeah, right on the pecker. A 2 cm laceration on the penis, transverse, right across the base. Not serious, really superficial, but one of those injuries which conjures up the mental image of a guillotine. [cringe] The poor kid -- will he ever have the courage to use the toilet standing up again?

But he was a trooper. He whimpered a little when I injected it with lidocaine. (Note to interns: without epinephrine!) But once it was numb, he didn't cry or squirm or anything. I was so relieved. I was expecting a rodeo ride trying to stich that damn thing up. I had considered sedating him. I didn't want it to be a more traumatic experience than it had to. But no, he took it better than many adults take stitches in . . . less sensitive places. Thank goodness. And he was polite enough to thank me and shake my hand after I was done.

So this job has its bright moments, too.


  1. This is no good at all. Men and boys simply do not get cut on or near their genitals. It does not happen.

  2. Sorry cool hand. You might not want to consider it, but shadowfax just covered the 2 long recognized presentations for genital injuries in boys.

    Now if some other story was being told I'd have all my antennae and radar deployed.

  3. I think the kid got hurt *because* he had his antenna deployed. . . if you know what I mean.

  4. Johnny Urologist4/11/2006 4:50 PM

    And I applaud you for actually fixing the problem yourself instead of shreaking "ohgoddamn it's his PENIS!" and trying to get your neighborhood urologist to hurry right down for the *emergency*. In this case, skin is still skin--it stitches up the same and it heals the same. As I tell my patients regarding stitches and scars on their scrotum, "by the time it heals you won't be able to find it in the wrinkles, and if anybody else is looking that close they ought to have more important things on their mind." Granted, I probably wouldn't say that to the ten year-old...

  5. Ah, Spring. When a young man's fancy turns to thoughts of scrotum-scarring escapades.


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