The management of penile fracture based on clinical and magnetic resonance imaging findings

Abolyosr, Ahmad; Moneim, Alaa E. Abdel; Abdelatif, Atef M.; Abd‐Alla, Mohamed Hemida; Imam, Hisham

doi:10.1111/j.1464-410x.2005.05634.x

Cited by 57 publications

(34 citation statements)

References 28 publications

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“…Some investigators have recommended the use of ultrasound, carvernosography and magnetic resonance imaging to locate the site of the tunical tear before surgery. 8,9,10 However, the positive predictive values in these studies have been shown to be similar to that of history and clinical examination. 11,12 The operative findings in this series confirmed the clinical diagnosis in all cases, including the location of the tear.…”

Section: Discussionmentioning

confidence: 78%

Early surgical repair of penile fractures

Mensah¹,

Morton²,

Kyei³

2011

Ghana Medical Journal

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Section: Discussionmentioning

confidence: 78%

Early surgical repair of penile fractures

Mensah¹,

Morton²,

Kyei³

2011

Ghana Medical Journal

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“…The diagnosis of penile fracture is usually established based on its characteristic history and physical findings [13]. Patients report hearing a snapping sound during the sexual act, followed by immediate pain and penile detumescence, in addition to the emergence of large edemas, hematomas, and penile deformity [14]. However, additional diagnostic imaging modalities can be used for diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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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“…In another study, MR imaging helped identify 3 cases of painful post-traumatic hematoma (either intracavernosal or outside the tunica albuginea) without disruption of the tunica albuginea, thereby avoiding surgical exploration. [12] Rupture of the dorsal vein of the penis is a rare condition that mimics acute fracture and should be distinguished from rupture with MR imaging. [12] In the present series, we had 1 case of dorsal vein rupture, which was confirmed surgically.…”

Section: Discussionmentioning

confidence: 99%

“…[12] Rupture of the dorsal vein of the penis is a rare condition that mimics acute fracture and should be distinguished from rupture with MR imaging. [12] In the present series, we had 1 case of dorsal vein rupture, which was confirmed surgically. MR images revealed subcutaneous hematoma with intact tunica albuginea.…”

Section: Discussionmentioning

confidence: 99%