DefinitionA genital injury is an injury to the genitals or perineum, the area between the legs.Alternative NamesScrotal trauma; Straddle injury; Toilet seat injuryConsiderationsGenital injuries can be very painful and can bleed heavily. It can affect the reproductive organs as well as the bladder and urethra. The amount of damage can range from minimal to severe. Temporary as well as permanent damage can be done.Young girls (usually less than 4 years of age) may insert foreign objects into the vagina as part of a developmentally-normal exploration of the body. These objects may include toilet tissue, crayons, beads, pins, or buttons.To rule out sexual abuse, the young girl should be asked by the health care provider how the object got in her vagina.In cases of rapeor sexual abuse, a medica