Acute penile trauma: imaging features in the emergency setting
- 9 Downloads
In an emergency department, penile traumas are uncommon and a prompt diagnosis is necessary. Penile injury may result from penetrating and non-penetrating trauma. Non-penetrating injuries can produce cavernosal hematomas or fractures: if not treated promptly, these lesions can result in fibrosis or erectile dysfunction. Penile traumatic lesions need a clinical approach first, but a radiological study is often required: ultrasonography with color and spectral Doppler study is usually the first approach. In some cases, magnetic resonance imaging may be performed to better recognize even small discontinuity of the tunica albuginea. Radiologists have to be aware of the various radiological patterns of penile traumatic lesions, in order to establish a prompt and correct diagnosis.
KeywordsPenile trauma Fracture Priapism Ultrasonography Magnetic resonance Retrograde urethrography
Cozzi D, Verrone GB and Pradella S contributed to manuscript writing/editing; D’Amico G and Agostini S contributed to manuscript writing/editing, data collection and management; Bartolini M and Miele V contributed to protocol/project development.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest related to the publication of this article.
This article does not contain any studies with human participants or animals performed by any of the authors.
- 12.Wiswell TE, Tencer CA, Welch CA et al (1993) Circumcision in children beyond the neonatal period. Pediatrics 92(6):791–793Google Scholar
- 16.Cho DS, Kim SJ, Choi JB (2003) Foreign bodies in urethra and bladder by implements used during sex behavior. Korean J Urol 44:1131–1134Google Scholar
- 28.Kachewar S, Kulkarni D (2011) Ultrasound evaluation of penile fractures. Biomed Imaging Interv J 7:e27Google Scholar
- 29.Lee SH, Bak CW, Choi MH et al (2008) Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int 101:211–215Google Scholar
- 32.Turkay R, Yenice MG, Aksoy S et al (2016) Contribution of MRI to clinically equivocal penile fracture cases. Ulus Travma Acil Cerrahi Derg 22(6):549–552Google Scholar
- 41.McAninch JW (2004) Disorders of the penis and male urethra. In: McAninch JW, Lue TF (eds) Smith and Tanagho’s general urology, 18th edn. McGraw-Hill, New York, pp 612–626Google Scholar