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

  • 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.

Abstract

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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Published
2014-03-28
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Issue
Section
Case Reports - Andrology
Keywords:
Penile fracture, Magnetic Resonance Imaging (MRI), Ultrasonography, Fibrosis, Erectile dysfunction
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How to Cite
Antonini, G., Vicini, P., Sansalone, S., Garaffa, G., Vitarelli, A., De Berardinis, E., Von Heland, M., Giovannone, R., Casciani, E., & Gentile, V. (2014). Penile fracture: Penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI). Archivio Italiano Di Urologia E Andrologia, 86(1), 39-40. https://doi.org/10.4081/aiua.2014.1.39

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