The role of imaging in penile fracture Our experience

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Published: Jul 1, 2019
Keywords:
Colour Doppler US, Penectomy, Penile fracture

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Luciano Izzo
“Pietro Valdoni” Department of Surgery, Policlinico “Umberto “I, Sapienza University, Rome, Italy
Sara Izzo
“Pietro Valdoni” Department of Surgery, Policlinico “Umberto “I, Sapienza University, Rome, Italy
Federico Pugliese
“Pietro Valdoni” Department of Surgery, Policlinico “Umberto “I, Sapienza University, Rome, Italy
Paolo Izzo
“Pietro Valdoni” Department of Surgery, Policlinico “Umberto “I, Sapienza University, Rome, Italy
Daniela Messineo
Department of Radiological Sciences, Oncology and Pathology, Policlinico “Umberto I”, Sapienza University, Rome, Italy
Francesco Selvaggi
Unit of Colorectal Surgery, Department of Medical, Surgical, Neurologic, Metabolic and Ageing Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy
Mauro Ciccariello
Department of Obstetrical-Gynaecological and Urological Sciences, Sapienza University of Rome, Italy
Hossain Shahabadi
Department of Obstetrical-Gynaecological and Urological Sciences, Sapienza University of Rome, Italy

Abstract

INTRODUCTION: Fracture of the penis is a urological casualty resulting from a tear in the tunica albuginea of the penis.


The diagnosis of suspicion is based fundamentally on the data obtained by means of clinical presentation and physical examination. Penile ultrasound is a useful, quick and innocuous test for suspected cavernous body ruptures.


MATERIALS AND METHODS: We observed 22 patients with suspected asymptomatic penile trauma. All of them underwent a Colour Doppler US examination, 5 of them an MRI scan. A functional US with stimulation was not carried out immediately, neither was a retrograde urethrography performed.


RESULTS: No lesions were found in six patients and only one patient underwent partial penectomy. The other patients received conservative treatments, such as cold compressive bandaging of the penis and the administration of fibrinolysis.


CONCLUSION: Penile fracture is underestimated because the traumas are often kept silent. Early diagnostic imaging management permits evaluation of the best procedure to adopt and whether surgery is necessary or not.

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How to Cite
Izzo, Luciano, et al. “The Role of Imaging in Penile Fracture Our Experience”. Annali Italiani Di Chirurgia, vol. 90, no. 4, July 2019, pp. 330-4, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1510.
Issue
Vol. 90 No. 4 (2019)
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Article