Genital Trauma

Injury Definition

  • Injuries to the female genital area (labia, vulva, vagina)
  • Injuries to the male genital area (scrotum or penis)
  • Most are bruises (with swelling) or minor cuts that heal rapidly in 3 to 4 days. Minor injuries can cause lots of bleeding here because of the rich blood supply

Call 911 Now (your child may need an ambulance) If

  • Major bleeding that can’t be stopped
  • Fainted or too weak to stand following major blood loss

Call Your Doctor Now (night or day) If

  • You think your child has a serious injury
  • External bleeding that won’t stop after 10 minutes of direct pressure
  • Bleeding from inside the vagina
  • Vaginal injury with a penetrating object
  • Skin split open or gaping and may need stitches
  • Swollen or painful scrotum
  • Painful urination or difficulty passing urine
  • Blood in the urine
  • Severe pain
  • Age < 1 year old

Call Your Doctor Within 24 Hours (between 9 and 4) If

  • You think your child needs to be seen

Call Your Doctor During Weekday Office Hours If

  • You have other questions or concerns

Parent Care at Home If

  • Mild genital injury and you don’t think your child needs to be seen

Home Care Advice for Mild Genital Injuries

  1. Bleeding: For any bleeding, apply direct pressure for 10 minutes with a sterile gauze. Note: minor cuts in the genital area can cause much oozing of blood because of the rich blood supply. For the same reason, the area heals quickly (3 or 4 days)
  2. Cleansing: For minor cuts, wash the area with soap and water for 5 minutes
  3. Local Cold: For swelling, apply ice or a cold compress for 20 minutes (if tolerated)
  4. Pain Medicine: Give acetaminophen or ibuprofen as needed for pain relief
  5. Expected Course: Cuts and other injuries in the genital area heal quickly in 3 or 4 days
  6. Call Your Doctor If
    • Pain becomes severe
    • Passing urin becomes difficult or worse
    • Your child becomes worse