The management of penile fracture based on clinical and magnetic resonance imaging findings
- PMID: 16042733
- DOI: 10.1111/j.1464-410X.2005.05634.x
The management of penile fracture based on clinical and magnetic resonance imaging findings
Abstract
Objective: To present our experience with repairing penile fracture, based on clinical and magnetic resonance imaging (MRI) findings.
Patients and methods: Between December 2002 and October 2004, 14 men (19-64 years old) presented to our centre with a penile fracture. Two patients had urethral bleeding. MRI was used before surgery in all patients, and the repair comprised a localized longitudinal penile incision in 13 men. This incision was designed according to the tunical tear site and size already depicted by MRI. One case was managed conservatively, as MRI confirmed an intercavernosal haematoma with no tunical tear. The follow-up was 4-21 months.
Results: The tear involved one corpus cavernosum in 11 patients; two were associated with urethral injury. The course after repair was uneventful in all men; the follow-up showed no erectile dysfunction in any. The patients reported neither pain nor penile curvature during erection.
Conclusion: MRI is a simple and informative investigation for evaluating and documenting a penile fracture, and it improves the management plan.
Comment in
-
The management of penile fracture based on clinical and magnetic resonance imaging findings.BJU Int. 2005 Dec;96(9):1423-4. doi: 10.1111/j.1464-410X.2005.05982_4.x. BJU Int. 2005. PMID: 16287472 No abstract available.
Similar articles
-
False penile fracture: value of different diagnostic approaches and long-term outcome of conservative and surgical management.Urology. 2010 Jun;75(6):1353-6. doi: 10.1016/j.urology.2009.11.086. Epub 2010 Mar 29. Urology. 2010. PMID: 20350760
-
Management of penile fractures.Saudi Med J. 2008 Oct;29(10):1443-7. Saudi Med J. 2008. PMID: 18946570
-
Penile fractures: immediate surgical approach with a midline ventral incision.BJU Int. 2009 Aug;104(4):520-3. doi: 10.1111/j.1464-410X.2009.08455.x. Epub 2009 Feb 23. BJU Int. 2009. PMID: 19239439
-
[Surgical treatment of fracture of the corpus cavernosum and the urethra: review of the literature and report of 2 cases].Arch Esp Urol. 1996 Jun;49(5):499-506. Arch Esp Urol. 1996. PMID: 8766087 Review. Spanish.
-
[Fracture of the penis: two new cases. Review of the literature. Usefulness of echography].Arch Esp Urol. 1997 Dec;50(10):1099-102. Arch Esp Urol. 1997. PMID: 9494199 Review. Spanish.
Cited by
-
Atypical presentation of a vertical penile fracture.BMJ Case Rep. 2021 Jun 29;14(6):e243353. doi: 10.1136/bcr-2021-243353. BMJ Case Rep. 2021. PMID: 34187802 Free PMC article. No abstract available.
-
Sexual function outcomes and risk factors of erectile dysfunction after surgical repair of penile fracture.Turk J Urol. 2021 Mar;47(2):106-112. doi: 10.5152/tud.2020.20311. Epub 2020 Oct 9. Turk J Urol. 2021. PMID: 33052833 Free PMC article.
-
Simultaneous curvature correction at the time of the penile fracture repair: surgical and functional outcomes.Res Rep Urol. 2019 Apr 16;11:105-110. doi: 10.2147/RRU.S191997. eCollection 2019. Res Rep Urol. 2019. PMID: 31114766 Free PMC article.
-
The role of ultrasound (US) and magnetic resonance imaging (MRI) in penile fracture mapping for modified surgical repair.Int Urol Nephrol. 2017 Jun;49(6):937-945. doi: 10.1007/s11255-017-1550-x. Epub 2017 Mar 3. Int Urol Nephrol. 2017. PMID: 28258528
-
Injury to the male external genitalia: a comprehensive review.Int Urol Nephrol. 2017 Apr;49(4):553-561. doi: 10.1007/s11255-017-1526-x. Epub 2017 Feb 8. Int Urol Nephrol. 2017. PMID: 28181114 Review.
MeSH terms
LinkOut - more resources
Full Text Sources