Penile fracture: role of ultrasound

Gupta, Nishant; Goyal, Pradeep; Sharma, K.K.; Bansal, Itisha; Gupta, Sonali; Li, Shuo; Zinn, Kenneth M.; Kumar, Yogesh

doi:10.21037/tau.2017.03.38

Cited by 17 publications

(20 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most commonly, penile fracture involves one side of the corpora cavernosa. Penile fracture might also affect the corpora cavernous, corpus spongiosum, or urethra [3].…”

Section: Introductionmentioning

confidence: 99%

Penile fracture in a Peyronie’s disease patient: a case report

et al. 2020

View full text Add to dashboard Cite

Background Penile curvature in men with Peyronie’s disease (PD)—caused by tunica anchoring plaques with loss of focal fiber elasticity—theoretically increases the risk of penile fracture during sexual activity. Penile fracture is the result of tearing of the tunica albuginea of one or both corpora cavernosa, usually during sexual intercourse, and is among the most serious urological emergencies. Generally, a patient presented to a surgical emergency within 48 h of injury can be handled successfully with minimum complications. Immediate surgical treatment is the current standard of care and has a relatively low risk of late complications. Case presentation We present a case of penile fracture in a male with a history of PD referred to the emergency department with severe pain. Clinical history assessment and physical examination revealed a penile fracture with underlying PD. He underwent emergency surgical exploration via subcoronal incision. Penile plication was not necessary for our case because the angulation of the penis was less than 15° after examination of artificial erection. Conclusion Penile fracture in a patient with underlying PD is a rare urological emergency that should be treated surgically with fracture repair as early as possible. Penile plication might be necessary in severe cases (angulation > 60°).

show abstract

“…Most commonly, penile fracture involves one side of the corpora cavernosa. Penile fracture might also affect the corpora cavernous, corpus spongiosum, or urethra [3].…”

Section: Introductionmentioning

confidence: 99%

Penile fracture in a Peyronie’s disease patient: a case report

et al. 2020

View full text Add to dashboard Cite

show abstract

“…При сомнительном диагнозе в ранней стадии ГФ применяют лучевые методы исследования: обзорную рентгенографию (ОРГ), ультразвуковое исследование (УЗИ), компьютерную и магнитнорезонансную томографию [1,[3][4][5][6]7]. Чаще других используют ОРГ и УЗИ.…”

unclassified

“…ОРГ поражённой области способна выявить наличие газа в глубине мягких тканей, а также инородное тело, спровоцировавшее заболевание [2]. Тем не менее, чувствительность ОРГ в диагностике подкожной эмфиземы при ГФ низкая и варьирует от 19 до 54% [6,7]. В литературе есть немногочисленные публикации, посвящённые применению УЗИ высокого разрешения (свыше 7 МГц) при ГФ [3][4][5][6][7]9].…”

unclassified

“…Диагностические возможности УЗИ при ГФ значительно шире, чем возможности ОРГ. УЗИ используют для поиска газа и жидкости в глубоких, недоступных пальпации тканях, а также оценки кровотока и структуры яичек [2, 3,6].…”

unclassified

“…К ультразвуковым проявлениям ГФ относят отёк, утолщение и гиперваскуляризацию оболочек яичка, реактивное скопление жидкости в оболочках яичка [3][4][5][6]. В норме оболочки яичка при УЗИ имеют толщину 2-7 мм, слоистую структуру и лишены сосудистых сигналов при допплерографии [3].…”

unclassified

See 2 more Smart Citations

Experience of Fournier’s gangrene clinical diagnostics

Владимирович

2016

Kazan Med J

View full text Add to dashboard Cite

The article represents clinical cases review of rare and serious disease - Fournier’s gangrene. 3 patients with Fournier’s gangrene aged 53±13 years were followed up in Moscow City Clinical Urological Hospital №47 and City Clinical Hospital №57 in the period from 2005 to 2015. All patients with Fournier’s gangrene were admitted to the hospital with a different referral diagnoses: «acute epididymo-orchitis», «testicular abscess», «scrotal phlegmon». Standard clinical and laboratory tests, abdominal cavity and urogenital system plain radiography and ultrasound examination were performed. For genital organs ultrasound examination a high-resolution linear transducer (6-16 MHz) was used. Ultrasonography in the admission room allowed to exclude acute scrotal diseases in all patients, Fournier’s gangrene was diagnosed in 2 patients, and suspected in 1 patient. In all patients with Fournier’s gangrene ultrasound examination revealed marked thickening of testicular coats (more than 15 mm), the accumulation of a small amount of fluid between the testicular coats and in the tunica vaginalis cavity, testicular coats intense hypervascularization; normal blood flow and the unchanged structure of the testes and epididymis. Scrotal emphysema was detected by ultrasound examination in all patients, by the plain radiography and physical examination - in 2 patients. In all cases, ultrasound helped to clarify the cause of Fournier’s gangrene: to reveal anorectal abscesses, acute prostatovesiculitis and exclude acute epididymo-orchitis, scrotal phlegmon and testicular injury. As an illustration Fournier’s gangrene observation, which occurred as an anorectal abscess complication is presented. Ultrasonography allows to confirm the Fournier’s gangrene presumptive diagnosis (to reveal soft tissue of the penis and scrotum emphysema), make differential diagnosis of Fournier’s gangrene with other external genitalia and perianal area acute diseases, determine treatment strategy.

show abstract

Symptoms, Signs, Diagnostic Means, Differential Diagnosis, and Grading of Penile Injury

AL-Mamari

2023

Urogenital Trauma: A Practical Guide

View full text Add to dashboard Cite

Penile fracture: role of ultrasound

Cited by 17 publications

References 17 publications

Penile fracture in a Peyronie’s disease patient: a case report

Penile fracture in a Peyronie’s disease patient: a case report

Experience of Fournier’s gangrene clinical diagnostics

Symptoms, Signs, Diagnostic Means, Differential Diagnosis, and Grading of Penile Injury

Contact Info

Product

Resources

About