Rupture of the cavernous body diagnosed by contrast-enhanced ultrasound: Presentation of a clinical case

Dell’Atti, Lucio; Scarcella, Simone; Argalia, Giulio; Montesi, Lorenzo; Giuseppetti, Gian Marco; Galosi, Andrea Benedetto

doi:10.4081/aiua.2018.2.143

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Despite the high accuracy, MRI is not always used in the evaluation of penile trauma because expensive and little available in emergency. On the other hand, although CDU allows an easy and repeatable morfological and functional evaluation of the penis its accuracy results lower in comparison with MRI (19).…”

Section: Discussionmentioning

confidence: 97%

Diagnosis and treatment of penile injury: ten years experience of an emergency department

Panella

Pepe

Pennisi

2020

Arch Ital Urol Androl

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Introduction: To evaluate the imaging accuracy in the diagnosis and clinical management of penile injury.Materials and methods: From January 2010 to January 2020, 20 men (median age 40.2 years) were admitted to our Emergency Department with the diagnosis of penile injury; the penile trauma was related to sexual intercourse in 16 cases, masturbation in 3 cases and injury caused by the partner in 1 case. All the patients underwent accurate medical history, clinical examinations and diagnostic imaging. Color Doppler ultrasound (CDU) evaluation was performed by Logiq E9 ecograph (General Electric; Milwaukee, WI) supplied with a linear probe small (7.5-10 MHz); magnetic resonance image (MRI) examination was performed within 3-24 hours from the trauma using a 1.5 Tesla scanner, (ACHIEVA 3T; Philips Healthcare Best, the Netherlands) performing pre-contrast and post-contrast multi-planar turbo spin-echo T1 and T2-weighted sequences. Results: 15/20 (75%) men with high suspicion of the tunica albuginea rupture underwent surgical exploration; conversely, 5/20 (25%) patients underwent conservative management. CDU detected 11/15 (73%) fractures of the penis and in 8 of them the length of the rupture was underestimated (more than 5 millimeters). On the contrary, MRI diagnosed all the albuginea ruptures showed by surgical exploration, but underestimated the length of the lesions in 9/15 (60%) cases. The IIEF-5 score administered six months later penile trauma demonstrated a good performance in all the patients. Conclusions: In our series, all the patients with a tunica albuginea rupture < 5 mm. diagnosed by MRI were submitted to conservative management with a complete functional restitutio ad integrum.

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Section: Discussionmentioning

confidence: 97%

Diagnosis and treatment of penile injury: ten years experience of an emergency department

Panella

Pepe

Pennisi

2020

Arch Ital Urol Androl

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“…Compared with ultrasound or computed tomographic scans alone, magnetic resonance (MR) imaging is a favorable imaging modality to delineate the degree of involvement in the penis[ 18 ]. Contrast-enhanced ultrasonography is more easily available and less costly than MR, and it could be an option in cases where standard imaging (US and CT) is doubtful[ 19 ]. Penile mass can be assessed by fine needle aspiration or excision biopsy, and immunohistochemistry can be used to identify the source of the tumor[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Metachronous isolated penile metastasis from sigmoid colon adenocarcinoma: A case report

Yin¹,

Zhu²,

Fu³

et al. 2022

World J Clin Cases

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BACKGROUND Sigmoid colon adenocarcinoma has a high incidence among gastrointestinal tumors, and it very rarely metastasizes to the penis. The literature reports that the prognosis after penile metastasis is generally poor, with a median survival of about 9 mo. Metachronous isolated metastasis to the penis originating from sigmoid colon adenocarcinoma has not been reported so far. Here, we report a case of sigmoid colon adenocarcinoma with isolated penile metastasis occurring 2 years after surgery. The mass was pathologically confirmed as metastatic adenocarcinoma, and oral chemotherapy with capecitabine was given after surgery. The tumor did not recur during the 2-year follow-up period. CASE SUMMARY A 79-year-old man presented to the urology department with "a mass located at the root of the penis since 1 mo". Enhanced computed tomography (CT) examination suggested a 12 mm × 10 mm × 9 mm nodule at the root of the right penile corpus cavernosum. Cranial, pulmonary, and abdominal CT; and bone scan did not show any tumorigenic lesions. The carcinoembryonic antigen (CEA) level was slightly elevated (6.01 ng/mL, reference value 0-5 ng/mL). The patient had undergone laparoscopic radical sigmoidectomy for sigmoid colon cancer 2 years ago. The postoperative pathology showed moderately differentiated adenocarcinoma of the sigmoid colon, and the stage was PT2N0M0. The penile mass was removed under general anesthesia. The postoperative pathology showed adenocarcinoma, and immunohistochemistry showed CDX2(+), CK20(+), and Villin(+). Based on the medical history, he was diagnosed with penile metastasis from sigmoid colon adenocarcinoma. The CEA level returned to normal (3.34 ng/mL) 4 d after surgery. Oral chemotherapy with capecitabine was given subsequently, and tumor recurrence was not found during the 2-year follow-up period. CONCLUSION To our knowledge, this is a rare case of metachronous isolated penile metastasis from sigmoid colon adenocarcinoma. The penis is a potential site of metastasis of colon adenocarcinoma, and the possibility of metastasis should be considered in patients with a history of colon cancer who present with a penile mass. Solitary penile metastasis can be removed surgically, in combination with chemotherapy, and it may have good long-term outcomes.

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“…There are several etiological factors, but blunt trauma from coitus accounts for most causes [3]. Others include falls, forceful manipulation or masturbation [4, 5] or rolling over an erect penis [6], and Penile curvature (chordae) [7]. Penile fractures usually present with a ‘popping' sound with concomitant sudden swelling and ecchymosis of the penis followed by rapid detumescence [2].…”

Section: Introductionmentioning

confidence: 99%

Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

Yunusa

Wullie

Willie

et al. 2019

Case Reports in Urology

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Penile fracture is a relatively rare condition warranting emergency intervention. The commonest etiological factor remains coital activities, which explains why it is being underreported. Presentation is usually delayed and up to 38% of cases present with associated urethral injury. Prompt surgical intervention and primary urethral repair are associated with a good outcome. We present a 30-year-old male with unilateral penile fracture and associated urethral injury following sexual intercourse.

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Rupture of the cavernous body diagnosed by contrast-enhanced ultrasound: Presentation of a clinical case

Cited by 5 publications

References 8 publications

Diagnosis and treatment of penile injury: ten years experience of an emergency department

Diagnosis and treatment of penile injury: ten years experience of an emergency department

Metachronous isolated penile metastasis from sigmoid colon adenocarcinoma: A case report

Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

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