Penile fracture: penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI).
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.
Department of Urology, "Sapienza" Rome University, Rome. patriziovicini@gmail.com.
Gabriele
G
Antonini
Patrizio
P
Vicini
Salvatore
S
Sansalone
Giulio
G
Garaffa
Antonio
A
Vitarelli
Ettore
E
De Berardinis
Magnus
M
Von Heland
Riccardo
R
Giovannone
Emanuele
E
Casciani
Vincenzo
V
Gentile
D003937:Diagnosis, Differential; D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010413:Penis / Q000293:injuries* / Q000473:pathology* / Q000601:surgery; D012421:Rupture; D012611:Scrotum / Q000293:injuries* / Q000473:pathology* / Q000601:surgery; D013521:Urologic Surgical Procedures, Male