View source for Zipper injury to penis

==Background==
[[File:Sobo 1909 571.png|thumb|Penis anatomy]]
[[File:Gray1142.png|thumb|The human male urethra laid open on its anterior (upper) surface.]]
[[File:Gray1155.png|thumb|Transverse section of the penis.]]
*Most common in young children and adolescents
*Rapid extrication is recommended to avoid worsening edema and further tissue damage

==Clinical Features==
[[File:PMC2740150 1757-1626-0002-0000006345-001.png|thumb|Foreskin trapped by his zipper.]]
*Penile or scrotal tissue caught in zipper

==Differential Diagnosis==
{{Template:Penile Trauma DDX}}

==Evaluation==
*Clinical diagnosis

==Management==
*Expose the area by cutting clothing around zipper.
*Give pain control (e.g. IN Fentanyl) for extrication
**May require conscious sedation.
*Mineral oil (applied topically for 10-15 minutes) and lidocaine infiltration can be used to free the penile skin.
*Wire-cutting or bone-cutting pliers can be used to cut the median bar of the zipper<ref>Nakagawa, T. and Toguri, A. G. (2006) ‘Penile Zipper Injury’, Medical Principles and Practice, 15(4), pp. 303–304.</ref>
*Avulsed penile skin should not be reapplied (invariably becomes necrotic and infected)

==Disposition==
*Discharge

==See Also==
*[[Penile trauma]]

==References==
<references/>

[[Category:Trauma]]
[[Category:Urology]]