Charles Darwin with a purple swarm around his head, contemplating the twist of fate that natural selection sidestepped these still-living honorable mentions.

1993 Honorable Mention

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Honorable Mentions have misadventures that stop short of the ultimate sacrifice. Nevertheless we salute the spirit of their colossal blunders with an Honorable Mention. Better luck next time!

Scrotum Self-Repair
1991 Honorable Mention
Confirmed True by Darwin

One morning I was called to the emergency room by the head ER nurse. She directed me to a patient who had refused to describe his problem other then to say that he "needed a doctor who took care of men's troubles." The patient, about 40, was pale, febrile, and obviously uncomfortable, and had little to say as he gingerly opened his trousers to expose a bit of angry red and black-and-blue scrotal skin.

After I asked the nurse to leave us, the patient permitted me to remove his trousers, shorts, and two or three yards of foul-smelling, stained gauze wrapped about his scrotum, which was swollen to twice the size of a grapefruit and extremely tender. A jagged zig-zag laceration, oozing pus and blood, extended down the left scrotum.

Amid the matted hair, edematous skin, and various exudates, I saw some half-buried dark linear objects and asked the patient what they were. Several days earlier, he replied, he had injured himself in the machine shop where he worked, and had closed the laceration himself with a heavy-duty stapling gun. The dark objects were one-inch staples of the type used in putting up wallboard.

We x-rayed the patients scrotum to locate the staples; admitting him to the hospital; and gave him tetanus antitoxin, a broad-spectrum antibacterial therapy, and hexachlorophene sitz baths prior to surgery the next morning.

The procedure consisted of exploration and debridement of the left side of the scrotal pouch. Eight rusty staples were retrieved, and the skin edges were trimmed and freshened. The left testis had been avulsed and was missing. The stump of the spermatic cord was recovered at the inguinal canal, debrided, and the vessels ligated properly, though not much of a hematoma was present. Through-and through Penrose drains were sutured loosely in site, and the skin was loosely closed.

Convalescence was uneventful, and before his release from the hospital less then a week later, the patient confided the rest of his story to me.

An unmarried loner, he usually didn't leave the machine shop at lunchtime with his co-workers. Finding himself alone, he had begun the regular practice of masturbating by holding his penis against the canvas drive-belt of a large floor-based piece of running machinery. One day, as he approached orgasm, he lost his concentration and leaned too close to the belt. When his scrotum suddenly became caught between the pulley-wheel and the drive-belt, he was thrown into the air and landed a few feet away. Unaware that he had lost his left testis, and perhaps too stunned to feel much pain, he stapled the wound closed and resumed work.

I can only assume he abandoned this method of self-gratification.

By Dr. William A. Morton, Jr. MD, a retired urologist residing in West Chester, Pennsylvania.

DarwinAwards.com © 1994 - 2012
Submitted by: Bruce A. McCausland, Dennis Golchert, Robert Christopher
Reference: Reference: Medical Aspects of Human Sexuality, July 1991

A Reader Comment
"I was reading the book when I noticed a detail that slipped through the cracks. This one little detail makes Scrotum Repair Man a Darwin Award winner, and not just an Honorable Mention. Correct me if I'm worng, but doesn't the ability to reproduce lie solely withing the left testicle, the very one which this man lost? This is why the left testicle normally lies slightly lower than the right, and cancer of the right testicle is less severe. Therefore this man cannot reproduce, and should be given the full Darwin Award."

Darwin Responds
"No that's not true, both testicles produce sperm. One is higher than the other so it can slide over it more easily when a man puts his legs together."

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