Contribution of MRI to clinically equivocal penile fracture cases

Türkay, Rüştü; Yenice, Mustafa Gürkan; Aksoy, Sema; Şeker, Gökhan; Şahin, Selçuk; İnci, Ercan; Tuğcu, Volkan; Taşçı, Ali İhsan

doi:10.5505/tjtes.2016.50955

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…Although penile fractures were diagnosed via anamnesis and physical examination, imaging methods, such as preoperative US or MRI, are important in the diagnosis of suspicious cases and in facilitating the surgeon's work during surgery. 25,26 In fact, US is the most highly preferred method because it is accessible, cheap and can be applied quickly. 27 Because it is an operator-dependent method, different rates of success in detecting tunica defects have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

The role of preoperative ultrasound in the diagnosis of penile fractures and the effect of tunica defect length on postoperative functional outcomes

et al. 2021

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Penile fractures are caused by rotational or bending trauma to the penile shaft during erection, and they generally present with unilateral ruptures of the tunica albuginea around the corpus cavernosum with or without urethral injury. 1 The main reasons for penile fractures listed in the literature are sexual intercourse, bending the erect penis to achieve sudden detumescence during masturbation (the taghaandan manoeuvre) and accidentally rolling over in bed onto the erect penis. 2 Although the site of the injury is variable, it occurs mostly in the midshaft region or near the base of the shaft. 3 Patients usually describe a cracking sound, followed by pain and rapidly occurring haematoma. 4 Blood at

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Section: Discussionmentioning

confidence: 99%

The role of preoperative ultrasound in the diagnosis of penile fractures and the effect of tunica defect length on postoperative functional outcomes

et al. 2021

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“…MRI can be considered alternatively in cases when ultrasound proves to be equivocal or unavailable. 30,31 If imaging is equivocal or diagnosis remains in doubt, surgical exploration should be performed.…”

Section: Guideline Statement 28mentioning

confidence: 99%

Urotrauma Guideline 2020: AUA Guideline

Morey¹,

Broghammer²,

Hollowell³

et al. 2021

Journal of Urology

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The authors of this guideline reviewed the urologic trauma literature to guide clinicians in the appropriate methods of evaluation and management of genitourinary injuries. Materials and Methods: The Panel amended the Guideline in 2020 to reflect additional literature published through February 2020. When sufficient evidence existed, the Panel assigned the body of evidence a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, the Panel provided additional information as Clinical Principles and Expert Opinions (See table 1). Results: The Panel updated a total of six existing statements on renal, ureteral, bladder, urethra, and genital trauma. Additionally, four new statements were added based on literature released since the 2017 amendment. Statement 5b was added based on new evidence for treatment of hemodynamically unstable patients with renal trauma. Statement 20b was added based on new literature for percutaneous or open suprapubic tube placement following pelvic fracture urethral injury. Statements 30a and 30b were also added to provide guidance on ultrasonography for blunt scrotal injuries suggestive of testicular rupture and for performing surgical exploration with repair or orchiectomy for penetrating scrotal injuries respectively. Conclusions: These evidence-based updates to the AUA Guidelines further inform the treatment of urotrauma.

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