Penile fracture and magnetic resonance imaging

Murray, Katie S.; Gilbert, Michael; Ricci, Lawrence R.; Khare, Narendra; Broghammer, Joshua A.

doi:10.1590/s1677-55382012000200019

Cited by 7 publications

(5 citation statements)

References 4 publications

(2 reference statements)

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“…In addition to the clinical diagnosis in doubtful cases with atypical clinical appearance, radiological imaging can be made use of to obtain a differential diagnosis of diseases that can mimic penile fracture and thus avoid an unnecessary surgery (33,34,44). In this study the radiological investigations were performed both in clinically typical and atypical cases, for a total of 16 of 23 patients (69.6%) with suspicion of penile fracture, and this data comes in contrast with information reported in literature.…”

Section: Discussionmentioning

confidence: 99%

“…An indirect sign of urethral injury is the presence of air in the corpora cavernosa (31). The Magnetic Resonance Imaging (MRI) is the most accurate test in diagnosing a fracture of the penis due to its high contrast resolution between tissues and the ability to identify the pathological processes of the soft tissues (32,33). However, it is not widely used because of high costs and long execution times.…”

Section: Awarded As First Sieun Article Prizementioning

confidence: 99%

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Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

Pavan

Giorgia

Liguori

et al. 2014

Arch Ital Urol Androl

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The diagnosis is mainly clinical; however, radiological investigation is essential to confirm the diagnosis, assess the site and extent of the trauma and possible urethral involvement, so as to plan the most appropriate treatment. In addition, immediate treatment leads to better long-term results, with a lower incidence of ED and penile curvature. Psychologically, penile trauma intensifies the fear of reoccurrence; it decreases, however, with the passage of time.

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Section: Discussionmentioning

confidence: 99%

Section: Awarded As First Sieun Article Prizementioning

confidence: 99%

Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

Pavan

Giorgia

Liguori

et al. 2014

Arch Ital Urol Androl

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“…Retrograde urethrography and cavernosography are invasive, and prominent false-negative findings have been reported, while MRI is an excellent imaging modality with multiplanar capability and excellent tissue contrast [16,17]. It can be useful as a diagnostic tool in the evaluation of patients with acute penile trauma, but it is expensive and not widely available everywhere [18].…”

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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“…On the other hand, MRI is the most accurate test in diagnosing the PF as it shows high contrast resolution between tissues and identifies the pathological processes of soft tissues. Studies also reported that it can be used in the evaluation of the urethral injury, although it is not commonly used because of its low cost-effectiveness and long execution time (10,11). RUG is the gold standard for urethra evaluation.…”

Section: Reviewmentioning

confidence: 99%

The presentation and outcomes of penile fracture with associated urethral injury: A systematic literature review

Shebl

2023

Arch Ital Urol Androl

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Purposes: Penile fracture (PF) with associated urethral injury has been described as a rare condition yet a serious urological emergency. We conducted this systematic review to address the current literature concerning the etiology, presentations, intra-operative findings, site of injury, and complications of PF with associated urethral injury, Materials and Methods: The present systematic review was limited to human-based studies published in English language, and reporting clinical data on PF cases with associated urethral injuries. A comprehensive search of the literature was conducted on five electronic databases from their inception to May 2022: Medline via PubMed, Web of Science, Google Scholar, Scopus, and EBSCO host. Results: A total of 15 studies were included encompassing 1671 patients with PF. Out of 1665 patients with PF retrieved from the case series studies, 65 patients had associated urethral injuries giving a point prevalence of 3.9%. The vast majority of the patients had blood on the meatus and hematuria suggestive of urethral injury (57/59; 96.6%). Forty patients had partial urethral disruption and the rest of the patients had a complete rupture. All patients received primary urethroplasty as the main modality of treatment. The median hospital stay was two days and the median duration of transurethral catheterization was 21 days. Five patients (8.5%) developed urethral stricture; other complications included penile curvature (6.7%), palpable fibrosis (6.7%), and erectile dysfunction (3.4%). Conclusions: Urethral injuries are uncommon, but serious findings, in patients with PF. Primary urethroplasty appears to achieve satisfactory outcomes with a low incidence of short and long-term complications.

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Penile fracture and magnetic resonance imaging

Cited by 7 publications

References 4 publications

Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

Penile fracture: Retrospective analysis of our case history with long-term assessment of the erectile and sexological outcome

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

The presentation and outcomes of penile fracture with associated urethral injury: A systematic literature review

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