Color Doppler sonographic findings in penile fracture

Abstract

We performed color Doppler sonographic examination on 4 patients, 3 of whom had preliminary diagnoses of penile fracture and 1 of whom had undergone an operation due to penile fracture a year previously. Color Doppler sonography helped evaluate the relationships between the hematoma and the vascular structures and aided in differential diagnosis of the vascular injuries that may accompany tunical rupture (or have similar clinical presentations) and Mondor's disease; thus, this method has a crucial role in choosing the treatment approach. Color Doppler sonography may also assist in the follow-up of patients after surgical or conservative treatment.

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

“…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]. Additional tests were not used for diagnosis in our cases.…”

“…In doubtful cases, ultrasonography with color Doppler has been incorporated into the diagnosis of penile trauma, providing better diagnostic accuracy, because it allows evaluating the relationships between the hematoma and penile vascular structures. Because it is a noninvasive, lowcost, and widely available method, ultrasonography can be considered useful in the diagnostic investigation of penile trauma [18]. Among our cases, a similar entity was observed only in two cases and vein ligation was made.…”

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

“…However, this technique is operator-dependent, and the major obstacle is a lack of tissue contrast. Other limitations of the US are that edematous swelling of the penis and clots within the tear deteriorate the image contrast and can hide the defect [19]. In our opinion, an immediate surgical intervention has been associated with a reduced risk of permanent penile curvature, shorter duration of hospital stay, and decreased return time to normal erectile function [23].…”

“…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.…”

“…US is an ideal technique for evaluating patients with penile trauma and can be routinely used in an emergency. It is a non-invasive method that gives results faster than cavernosography and MRI [19]. Ideally, US of the penis is performed with a high-frequency (7-12.0 MHz) linear transducer, anatomic orientation, and ample gel to provide high-quality images [1,4].…”