Case Reports - Andrology
Vol. 86 No. 1 (2014)
https://doi.org/10.4081/aiua.2014.1.39

Penile fracture: Penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI)

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Received: 28 March 2014
Published: 28 March 2014
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Penile fracture, Magnetic Resonance Imaging (MRI), Ultrasonography, Fibrosis, Erectile dysfunction

Authors

Gabriele Antonini
Department of Urology, “Sapienza” Rome University, Rome, Italy.
Patrizio Vicini
patriziovicini@gmail.com
Department of Urology, “I.N.I.” Italian Neurotraumatologic Institute Grottaferrata, Rome, Italy.
Salvatore Sansalone
Department of Experimental Medicine and Surgery, “Tor Vergata” Rome University, Rome, Italy.
Giulio Garaffa
Department of Experimental Medicine and Surgery, “Tor Vergata” Rome University, Rome, Italy.
Antonio Vitarelli
Department of Urology, Bari University, Bari, Italy.
Ettore De Berardinis
Department of Urology, “Sapienza” Rome University, Rome, Italy.
Magnus Von Heland
Department of Urology, “Sapienza” Rome University, Rome, Italy.
Riccardo Giovannone
Department of Urology, “Sapienza” Rome University, Rome, Italy.
Emanuele Casciani
Department of Radiology, “Sapienza” Rome University, Rome, Italy.
Vincenzo Gentile
Department of Urology, “Sapienza” Rome University, Rome, Italy.
Fracture of the penis, a relatively uncommon emergency in Urology, consists in the traumatic rupture of the tunica albuginea of the corpus cavernosum. Examination and clinical history can be highly suspicious of penile fracture in the majority of cases and ultrasonography (USS) can be useful to identify the exact location of the tunical rupture, which is proximal in 2/3 of cases and therefore manageable through a penoscrotal approach. Although expensive and not readily available in the acute setting, Magnetic Resonance Imaging (MRI) may play a role in the differential diagnosis with rupture of a circumflex or dorsal vein of the penis or when the tunical rupture is not associated with tear of the overlying Buck’s fascia. This form of imaging is more sensitive than USS at identifying the presence of a tunical tear. The treatment of choice is immediate surgical repair, which allows preserving erectile function and minimizing corporeal fibrosis.

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Penile fracture: Penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI). (2014). Archivio Italiano Di Urologia E Andrologia, 86(1), 39-40. https://doi.org/10.4081/aiua.2014.1.39

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