title: The value of magnetic resonance imaging in the diagnosis of penile fracture.
abstract: OBJECTIVE
  We studied the use of magnetic resonance imaging in the diagnosis of penile fracture.
  
  
  METHODS
  Between 1997 and 2012, fifteen patients (age range 17-48 years, mean age 37 years) with suspected penile fracture underwent MRI examinations. Ten patients were injured during sexual intercourse, whereas four patients were traumatized by non-physiological bending of the penis during self manupilation, one patient was traumatized falling from the bed. Investigations were performed with 1.5 T MR unit. With the patient in the supine position, the penis was taped against the abdominal wall and surface coil was placed on the penis. All patients were studied with axial, coronal, sagittal precontrast and postcontrast T1-weighted TSE(TR/TE:538/13 msn) and T2-weighted TSE(5290/110 msn) sequences. All patient underwent surgical exploration. The follow-up ranged from 3 months to 72 months. Clinically all patients showed normal healing process without complications. In 11 patients a shortening and thickening of tunica albuginea was observed. Three patients have post traumatic erectile disfunction.
  
  
  RESULTS
  In all patient corpus cavernosum fractures were clearly depicted on a discontinuity of the low signal intensity of tunica albuginea. These findings were most evident on T1WI and also depicted on T2W sequences. Images obtained shortly after contrast medium administration showed considerable enhancement only in rupture site. Subcutaneous extratunical haematoma in all patients were also recognizable on T2 WI. MRI findings were confirmed at surgery.
  
  
  CONCLUSIONS
  Magnetic resonance imaging is of great value for the diagnosis of penile fracture. Furthermore this method is well suited for visualising the post-operative healing process.
authors.affiliation: Department of Radiology, Konya Research and Education Hospital, Konya, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Guler
authors.affiliation: Department of Radiology Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
authors.forename: Kemal
authors.initials: K
authors.lastname: Ödev
authors.affiliation: Department of Radiology Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
authors.forename: Havva
authors.initials: H
authors.lastname: Kalkan
authors.affiliation: Department of Radiology Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
authors.forename: Cihan
authors.initials: C
authors.lastname: Simsek
authors.affiliation: Department of Radiology Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
authors.forename: Suat
authors.initials: S
authors.lastname: Keskin
authors.affiliation: Department of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kilinç
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D015203:Reproducibility of Results; D012421:Rupture / Q000175:diagnosis / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult