CT-guided minimally-invasive penile fracture repair

Abstract

We present the case of a 28 year old patient with an incomplete tear of the tunica albuginea occurred after having sexual intercourse in the female superior position. The diagnostic assessment was performed first clinically, then with CT, owing to its high resolution, allowed to exactly detect the tear location leading to precise preoperative planning. After adequate diagnosis through imaging and proper planning, the patient was performed a selective minimally invasive surgical approach to repair the lesion. The patient had good erection with no angular deformity or plaque formation after a 3-month follow-up.

A rare case report of tricorpora penile fracture associated with urethral disruption

“…The diagnosis of a penile fracture can be through only the clinical presentation. However, in several unclear/atypical cases, ultrasound (US) and MRI can be used to detect disruption of tunica albuginea [15] . The use of cavernosography could also be useful in acute fracture of the penis in the hope to evaluate the extent of injury in corpus cavernosum depending in certain circumstances which the exact nature of the damage is not clear clinically [16] .…”

Penile fracture: A case report

“…Ultrasonography is frequently employed as an initial imaging technique due to its accessibility and its ability to detect defects in the tunica albuginea as well as any associated hematoma or damage to adjacent structures [ 6 ]. However, more detailed information may be obtained through techniques such as magnetic resonance imaging (MRI) and CT scans, particularly in complex cases [ 23 , 24 ]. On occasions, retrograde urethrography or cavernosography might be performed when there are concerns about potential accompanying urethral or vascular injuries [ 25 ].…”