Unusual Scrotal Injury by Cycle Hand Brake - A Case Report

Background: Scrotal injury with perforation is not often reported in forensic medicine since it has been a topic of discussion in urology, as it requires various measures in prevention and reconstruction of the damaged scrotal tissues. Injuries of the scrotum and its adjoining structure may lead to temporary or permanent impotence or infertility or both impotence and infertility in males. Among the various reasons of genital injuries, blunt trauma is the commonest, followed by injuries like animal bite and self-mutilation. Some of these injuries are not reported but this type of injury requires immediate attention and treatment to prevent long term psychological and sexual dysfunction. Under section 320 IPC (Indian Penal Code 1860), the first clause defines emasculation as a result of amputation, direct assault, nerve injury other injuries caused by accidents, violent sexual act etc. leading to sexual disability. Case Report: Here is a case of accidental scrotal injury that led to the perforation of the scrotum. The perforation was by blunt force derived from the hand breaks of a cycle which penetrated to the root of the penis. Conclusion: As far as this particular case is concerned the penetrating scrotal injury may lead to sexual impotence and long term male sex hormone imbalance which may affect the physical and sexual performance of the patient.