A TEENAGER'S penis was "degloved" and his scrotum inverted after a horror bike crash.

The 14-year-old had been cycling along a pavement one-handed while holding a drink when he smashed into a parked car and his handlebars impaled his groin.

1 A 14-year-old boy suffered a horror groin injury after cycling along one-handed Credit: Getty - Contributor

He was taken to A&E at John Radcliffe Hospital, Oxford, in a pelvic binder and the wound packed, according to an article published in BMJ Case Reports.

When he arrived, doctors found the handlebars had sliced through his pubic area leaving a 14cm-long wound across and a 10cm cut down into his perineum.

This had inverted his left scrotum and partially degloved the penis - meaning the skin and tissue is ripped away, exposing muscle or bone.

He was put under general anaesthetic so the wound could be washed out and the damaged tissue removed.

Post-op

They noted that some of the deeper layers of tissue that protect the penis and testicles had been exposed but were able to close the wound up after inspecting the area for foreign bodies and neurovascular damage.

At his post-operation follow up four weeks later, doctors said the boy had no significant vascular damage and normal sensation.

They were unable to say what impact the injury would have on his sexual function in the future.

He was discharged the next day with a course of antibiotics and support dressings.

Unusual case

Dr Hannah Thompson, professor of Paediatric Surgery, University of Oxford and John Radcliffe Hospital, said: "This case is unusual in both mechanism and resulting injury.

"Handlebar injuries causing blunt abdominal trauma are well described in the literature, however, reports of impalement or degloving injuries are spars.

This unusual case demonstrates the potential damage resulting from handlebar injuries even at low velocity Dr Hannah Thompson

"Most bicycle-associated injuries are skin abrasions, however, extensive morbidity has been described in association with bicycle injuries, especially handlebar injuries, due to the low surface area of the bare metal end of the handlebar."

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Dr Thompson continued: "It is important to note that impalement, as well as severe blunt intra-abdominal injuries may occur due to the small surface area at the edges of handlebars acting in a spear-like fashion.

"A prospective study of 813 bicycle-related injuries in children found 21 handlebar injuries, 10 of whom had life-threatening intra-abdominal trauma. In all 10, the bicycle handlebars had no plastic covering on the end of the handle."

She added: "This unusual case demonstrates the potential forces involved, and potential damage resulting from handlebar injuries even at low velocity."