Sonographic Evaluation of Penile Trauma

Bhatt, Shweta; Kocakoç, Ercan; Rubens, Deborah J.; Seftel, Allen D.; Dogra, Vikram S.

doi:10.7863/jum.2005.24.7.993

Cited by 52 publications

(47 citation statements)

References 30 publications

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“…US may be the preferred imaging technique for evaluation of penile trauma before surgery, because its improved spatial resolution permits evaluation of normal and pathologic anatomic structures generally smaller than 1 mm [3], and increased CD sensitivity to low flow permits full evaluation of penile vascularity [19]. It is easy to perform, non-invasive, widely available, and inexpensive.…”

Section: Resultsmentioning

confidence: 99%

“…US shows the position of the hematoma within the corpus cavernosum, septal area, or sometimes outside the tunica albuginea [8]. Injury to the subtunical venous plexus, or the smooth muscle trabeculae in the absence of complete tunica disruption, can lead to cavernosal hematomas [3]. However, a discontinuity of the echogenic line representing albuginea tear is important, as surgery is usually needed [17].…”

Section: Discussionmentioning

confidence: 99%

“…Usually, this happens in the setting of an erect penis during vigorous sex. Other causes include direct trauma, masturbation, falls, forceful manipulation, and rolling over in bed during an erection [2][3][4]. It presents as an emergency situation with indications for surgical repair.…”

Section: Introductionmentioning

confidence: 99%

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The role of ultrasonography in the diagnosis and management of penile trauma

Dell’Atti¹

2016

J Ultrasound

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Purpose In this prospective study, we studied the role of ultrasonography (US) in the diagnosis and management of penile trauma. Methods Between 2007 and 2014, 14 patients (mean age 39 years) with suspected penile fracture underwent US examinations. Almost all patients had a history of injury during sexual intercourse or manipulation of the penis. US examinations were performed in transversal and longitudinal planes starting at the level of the glans and moving down to the base of the penis. Color-Doppler was used to identify the vascular pattern or to see any abnormal vascularity. Results The most common blunt injury to the penis that occurred in nine patients was penile fracture due to rupture of the corpus cavernosum. A tear occurred in only one of the corpora cavernosa. US showed an irregular hypoechoic or hyperechoic defect at the cavernosal rupture site. Four patients presented an injury to the subtunical venous plexus in the absence of complete tunical disruption. One patient had urethral rupture with inability to urinate and apparent urethrorrhagia. Ten patients underwent surgical operation, while four patients were observed and discharged after 2 days. Mean follow-up was 32 months (range 3-58). After 8 to 12 weeks, all of them were able to be sexually active as before. Angulations of penis persisted in one patient. Conclusion US may be the preferred imaging technique for evaluation of penile fracture before surgery. It is easy to perform, non-invasive, widely available, and inexpensive, although it requires an experienced team.Keywords Penile trauma Á Penile fracture Á Ultrasonography Á Color-Doppler sonography Á Imaging Á Tunica albuginea Riassunto Scopo In questo studio prospettico abbiamo analizzato il ruolo dell'imaging ecografico nella diagnosi e gestione del trauma penieno. Metodi Tra il 2007 ed il 2014, 14 pazienti (età media: 39 anni) con sospetto di frattura del pene furono sottoposti ad uno studio ecografico. Quasi tutti i pazienti presentavano un riscontro anamnestico di traumi avvenuti durante un rapporto sessuale o manipolazione del pene. Gli esami ecografici furono eseguiti facendo scansioni su piani trasversali e longitudinali iniziando a livello del glande e procedendo sino alla base dell'asta. L'utilizzo del ColorDoppler è stato adoperato per visualizzare l'assetto vascolare o per identificare qualsiasi forma di anomalia vascolare. Risultati La più comune forma di rottura traumatica del pene accorsa in 9 persone fu quella del corpo cavernoso. la rottura si verificò sempre a livello di un singolo corpo cavernoso. Lo studio ultrasonografico identificò il punto di rottura a livello del corpo cavernoso attraverso la visualizzazione di un irregolare stria ipoecogena o iperecogena. 4 pazienti presentarono una lesione del plesso venoso al di sotto della tunica albuginea senza rottura della stessa. Un solo paziente riportò un trauma dell'uretra presentando difficoltà alla minzione ed uretrorragia. 10 pazienti furono sottoposti ad intervento chirurgico, mentre gli altri 4 furono ricovera...

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The role of ultrasonography in the diagnosis and management of penile trauma

Dell’Atti¹

2016

J Ultrasound

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“…Some researchers recommend ultrasonography, cavernosography and magnetic resonance imaging for preoperative detection of rupture site [2,15,16]. Nevertheless data obtained from these tests are similar to those obtained from history and physical exam [17]. However, on the other hand, there are authors suggesting that ultrasonography is an ideal technique for evaluation of penile trauma cases [18,19].…”

Section: Journal Of Clinical and Analytical Medicinementioning

confidence: 96%

Our 8 Years Experience on Penile Fractures: The Diagnosis and Treatment

Güneş¹

2012

Ann Clin Anal Med

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“…High-frequency sonography (7.5 MHze12.0 MHz) is the preferred imaging technique in penile trauma because it allows evaluation of normal and pathologic structures generally smaller than 1 mm, and also allows evaluation of penile vascularity. 6 Sonography can detect the exact site of the tear as a disruption of the thin linear echogenic tunica albuginea Fig. 1 e Penile fracture with eggplant deformity.…”

Section: Discussionmentioning

confidence: 99%