title: Imaging of male pelvic trauma.
abstract: Prompt imaging plays an important role in the evaluation of male pelvic soft tissue trauma. Using appropriate imaging modalities, with optimization of contrast administration when appropriate, is essential for accurate diagnosis. Traumatic bladder rupture, either extraperitoneal or intraperitoneal, is diagnosed with high accuracy using computed tomography cystography. Suspicion of urethral injury warrants evaluation with retrograde urethrography to evaluate for the presence of injury and injury location. Early identification of laceration of the testicular tunica albuginea is essential. Understanding both normal penile anatomy and the imaging appearance of corpus rupture (as opposed to a hematoma) is imperative for proper diagnosis and management.
authors.affiliation: Division of Emergency Radiology, Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02114, USA. lavery@partners.org
authors.forename: Laura L
authors.initials: LL
authors.lastname: Avery
authors.forename: Meir H
authors.initials: MH
authors.lastname: Scheinfeld
mesh_terms: D003287:Contrast Media; D003952:Diagnostic Imaging / Q000379:methods*; D005832:Genital Diseases, Male / Q000175:diagnosis*; D005837:Genitalia, Male / Q000293:injuries*; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010388:Pelvis / Q000000981:diagnostic imaging / Q000293:injuries*; D010413:Penis / Q000293:injuries; D012421:Rupture; D012611:Scrotum / Q000293:injuries; D013737:Testis / Q000293:injuries; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography / Q000379:methods; D014521:Urethra / Q000293:injuries; D001743:Urinary Bladder / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000175:diagnosis*; D014950:Wounds, Penetrating / Q000175:diagnosis*
chemical_list: D003287:Contrast Media