The role of corpus cavernosography in acute "fracture" of the penis.

Contribution of MRI to clinically equivocal penile fracture cases

“…Cavernosography is invasive and painful imaging modality that has significant false-negative results. [8] US can help detect defects in the tunica albuginea in the majority of patients (although false-negative results do occur), [9] and can also depict hematoma and injuries of the corpus spongiosum and urethra. In difficult cases, handicap of US is lack of tissue contrast, especially in detumescent pendulous part of the penis.…”

Our Results in Penile Fractures

“…Severe pain, sudden onset erectile dysfunction, swelling and ecchymosis are reported following fracture. Although some authors suggest preoperative diagnostic cavernosography for all patients (9), majority are in the opinion that typical history and physical examination findings would suffice for diagnosis excluding the need for extra tests since cavernosography may give misleading results (10,11). Penile ultrasonography and magnetic resonance imaging modalities have limited success (12,13).…”

Does MRI help in retaining potency in fracture penis?

“…Cavernosography for the diagnosis of tunical rupture has been opposed for being an invasive procedure with risks of infection, priapism, and allergy to iodides 3,4 .…”