Man's entire 'private part' crushed after falling while repairing roof

Doctors from the Department of Urology at Duc Giang General Hospital ( Hanoi ) have just successfully treated a male patient whose entire "private area" was crushed and his urethra severed due to a fall from a height due to a domestic accident.

The patient is Mr. VHG (54 years old, residing in Long Bien District, Hanoi), admitted to the hospital on June 13 with swelling in the scrotum on both sides, accompanied by a wound in the right scrotum about 1 cm long, heavy bleeding, and urination through the wound on the right side.

Surgeons operated on a male patient whose private part was completely crushed and his urethra severed after falling from a height of 2 meters.

Ultrasound results showed that the scrotal area had a lot of blood and blood clots. Retrograde cystourethrography showed that the medicine was leaking out of the urethra. The patient was diagnosed with urethral rupture and bilateral scrotal trauma and had to have emergency surgery.

Doctor Bui Truong Giang, Deputy Head of Urology Department, and anesthesiologist performed surgery on the patient.

During the surgery, doctors discovered that the patient's scrotum and testicles were bruised and had a lot of blood clots. Examination of the urethra revealed that both ends of the anterior urethra were severed.

The doctors performed a procedure to remove blood clots in the scrotum on both sides, and sutured the testicles to preserve them; at the same time, they removed the crushed tissue in the anterior urethra and sutured the urethra. After the surgery, the patient was given a catheter and checked for good urine flow. It is expected that the patient will be in good health and be discharged next week.

Talking to the doctor about the accident, the patient said that while he was repairing the roof at a height of about 2 meters, the roof suddenly collapsed, the patient fell and his "private part" hit a hard object, causing continuous bleeding and pain. Immediately after, the patient was taken to Duc Giang General Hospital for emergency treatment.

Doctor Giang assessed that the above patient is a rare case with deep internal damage. If subjective, the patient will ignore the disease, making it difficult to treat later. If not hospitalized in time for treatment, the patient will have genital necrosis due to urinary infection.

"It is better to treat urethral rupture injuries immediately by suturing them to minimize complications of urethral stricture. This is a difficult technique, requiring high expertise, and is performed at hospitals with urology departments," said Dr. Giang.

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