IBIMA Publishing International Journal of Research in Urology http://www.ibimapublishing.com/journals/UROL/urol.html Vol. 2014 (2014), Article ID 429101, 3 Pages DOI: 10.5171/2014.429101 ______________ Cite this Article as: Anselm Chi-wai Lee (2014), “A Toddler with an Injured Penis”, International Journal of Research in Urology, Vol. 2014 (2014), Article ID 429101, DOI: 10.5171/2014.429101 Case Report A Toddler with an Injured Penis Anselm Chi-wai Lee Children’s Haematology and Cancer Centre, Mount Elizabeth Hospital, Singapore Correspondence should be addressed to: Anselm Chi-wai Lee, anselm.cw.lee@gmail.com Received date: 21 January 2014; Accepted date: 21 March 2014; Published date: 8 September 2014 Academic Editor: Benjamin N Breyer Copyright © 2014. Anselm Chi-wai Lee. Distributed under Creative Commons CC-BY 3.0 Introduction Crush penile injury is a developmental hazard to male toddlers during toilet training. The incidence appears on the rise in recent years (Glass et al, 2013). Clinicians looking after young children should be aware of this kind of genital trauma and be able to distinguish it from abusive injuries. The following case report of a non-witnessed genital injury is illustrative. Case Report A 27-month-old boy was left alone in the toilet to urinate. All of a sudden, his father heard a scream from outside. He rushed in and found the toddler crying beside the toilet bowl with his pants down. The penis was bruised with blood oozing from the preputial opening. The toilet seat was down and some urine was spilled on the floor. The child was taken by his parents to the hospital. The child’s growth parameters were normal with no significant signs of injury outside the perineum. The distal part of the penis was swollen and covered with a bruise marked by a linear proximal border. A superficial laceration was found in the prepuce, and stale blood was noticed around the preputial opening (Fig. 1). Abstract A 27-month-old boy sustained superficial lacerations to his penis when he was voiding directly into the toilet bowl and the toilet seat fell onto the external genitalia. Bruising at the distal end of the penis with a linear proximal border was consistent with the mode injury described by the caretaker. The child recovered spontaneously without any signs of urethral injury or obstruction. Pediatric penile injury associated with toilet training may be preventable with increased parental awareness and substitution of hard wooden and ceramic toilet seats with lighter materials or slow-close technology. Keywords: Child, Penile injuries, Toilet seat injury