MRI of the penis

Kirkham, Alex

doi:10.1259/bjr/63301362

Cited by 61 publications

(21 citation statements)

References 58 publications

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“…Intracavernosal alprostadil 4.1 Efficacy and clinical evidence ICI of alprostadil mimics the physiologic mechanisms of cavernosal smooth muscle relaxation [20] and as such is used as a second-line treatment for men with ED who have failed to respond to a PDE5 inhibitor or who were unable to take such medication. It is also used to produce an artificial erection during color Doppler assessment of the penile vasculature, during the assessment of men with Peyronie's disease (when the degree of deformity can be accurately assessed in the clinic) and occasionally to aid MRI staging of the penile cancer [21,22].…”

Section: Drug Interactionmentioning

confidence: 99%

Alprostadil for the treatment of impotence

Hanchanale

Eardley

2013

Expert Opinion on Pharmacotherapy

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Alprostadil, a synthetic form of prostaglandin E1, is used as second-line therapy in managing men with ED. It has a unique role in men with ED secondary to diabetes and ED secondary to radical pelvic surgery (e.g., radical prostatectomy). In view of these new indications, the role of alprostadil is being redefined. Both intracavernosal and intraurethral alprostadil are approved for use in all countries, and following positive results from recent Phase III trials, topical alprostadil has gained approval in Canada.

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Section: Drug Interactionmentioning

confidence: 99%

Alprostadil for the treatment of impotence

Hanchanale

Eardley

2013

Expert Opinion on Pharmacotherapy

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“…MRI was used for the 10 most recent patients in our series and was found to be a valuable diagnostic tool (Figure 2(b)). MRI is considered superior to other imaging methods due to its excellent ability to visualize all penile structures [3], but excluding a penile fracture with a negative MRI is still uncertain [10]. MRI may also exclude important differential diagnoses like rupture of the circumflex or dorsal vein of the penis [3].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Treatment of Penile Fractures: A Single Center Series

Harbiyeli¹,

Abol‐Enein²,

Johansen³

2017

OJU

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Objectives: The aim of this study is to review the diagnostic work-up, treatment methods and outcomes in patients treated for penile fractures. Methods: Thirty-one patients were treated for penile fracture during the period 2006-2014. Data were retrieved from patients' journals and analyzed retrospectively. Follow-up data were available for 23 patients. Results: Twenty-eight patients (90%) experienced immediate pain at incidence; 29 (94%) experienced immediate swelling; 23 (74%) heard a cracking sound; 20 (65%) observed a blue discoloration immediately afterwards and 20 (65%) got immediate detumescence. Magnetic Resonance Imaging was used preoperatively in 10 patients and demonstrated the side and localization of the rupture in tunica albuginea in all cases. A longitudinal incision over the suspected site of the rupture was used in 20 patients and a sub-coronal de-gloving incision of the penile skin was used in 10 patients. The average operation time with longitudinal incision method and de-gloving was 43 minutes and 57 minutes, respectively. Short term complications were seen in four patients and long term complications were seen in 14 patients of which deviation of penis during erection was most common. Conclusions: Immediate pain, swelling and hearing a cracking sound are predominant features in the history of patients with penile fracture. Magnetic Resonance Imaging is recommended for localizing the rupture site. A longitudinal incision over the rupture site means significantly shorter operation time than de-gloving.

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“…However, MRI and cavernosography are mostly recommended to depict discontinuity of the tunica albuginea and diagnose the penile fracture. [6][7][8] The precise diagnosis can be confirmed only after surgical exploration. 5,9 The few reported cases of rupture of the superficial dorsal vein of the penis sometimes imitate a penile fracture; this rupture is thus sometimes called a "false fracture."…”

Section: Discussionmentioning

confidence: 99%

Isolated rupture of the superficial vein of the penis

Eken

Acil²,

Arpaci³

2014

CUAJ

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Penile emergencies are rare but when they do occur, prompt diagnosis and treatment are warranted. Emergent conditions of the male genitalia are mainly traumatic, vascular or infectious. Penile emergencies are usually caused by trauma to the penis, during sexual intercourse or manipulation of an erect penis during masturbation. One of the traumatic vascular penile emergencies is superficial penile dorsal vein rupture. This is a rare condition, with just a few reported cases. It is usually taken into differential diagnosis with the other acute penile injuries that present, such as acute penile edema or ecchymosis. We report a case of 59-year-old male with a superficial penile dorsal vein rupture which occurred during manipulation of the erect penis.

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MRI of the penis

Cited by 61 publications

References 58 publications

Alprostadil for the treatment of impotence

Alprostadil for the treatment of impotence

Diagnosis and Treatment of Penile Fractures: A Single Center Series

Isolated rupture of the superficial vein of the penis

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