title: Contribution of MRI to clinically equivocal penile fracture cases.
abstract: BACKGROUND
  Penile fracture is a surgical emergency defined as rupture of the tunica albuginea. Although most cases can be diagnosed with clinical evaluation, it has been stated in the literature that diagnosis in as many as 15% of cases can be challenging. In uncertain cases, imaging can help determine diagnosis.
  
  
  METHODS
  Present study included 20 cases where diagnosis could not be made with certainty and magnetic resonance imaging (MRI) was performed. MR images were examined for tunical rupture and accompanying pathologies. When rupture was observed, localization and length of rupture were noted. All patients underwent degloving surgery. All imaging findings were compared to surgical findings.
  
  
  RESULTS
  MRI revealed 19 tunical ruptures. In 1 case, hematoma was seen with no sign of penile fracture. No urethral injuries were found. All MRI findings were confirmed during surgery.
  
  
  CONCLUSIONS
  Performing MRI in clinically equivocal cases can provide crucial data to make precise diagnosis and improve patient management.
authors.affiliation: Department of Radiology, İstanbul Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey. rustuturkay@hotmail.com.
authors.forename: Rüştü
authors.initials: R
authors.lastname: Türkay
authors.forename: Mustafa Gürkan
authors.initials: MG
authors.lastname: Yenice
authors.forename: Sema
authors.initials: S
authors.lastname: Aksoy
authors.forename: Gökhan
authors.initials: G
authors.lastname: Şeker
authors.forename: Selçuk
authors.initials: S
authors.lastname: Şahin
authors.forename: Ercan
authors.initials: E
authors.lastname: İnci
authors.forename: Volkan
authors.initials: V
authors.lastname: Tuğcu
authors.forename: Ali İhsan
authors.initials: Aİ
authors.lastname: Taşcı
mesh_terms: D000293:Adolescent; D000328:Adult; D004630:Emergencies; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011237:Predictive Value of Tests; D012421:Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult