The management of penile fracture based on clinical and magnetic resonance imaging findings
Article first published online: 24 JUL 2005
Volume 96, Issue 3, pages 373–377, August 2005
How to Cite
Abolyosr, A., Moneim, A. E. A., Abdelatif, A. M., Abdalla, M. A. and Imam, H. M.K. (2005), The management of penile fracture based on clinical and magnetic resonance imaging findings. BJU International, 96: 373–377. doi: 10.1111/j.1464-410X.2005.05634.x
- Issue published online: 24 JUL 2005
- Article first published online: 24 JUL 2005
- Accepted for publication 10 March 2005
Associate Editor Michael G. Wyllie
Editorial Board Ian Eardley, UK Jean Fourcroy, USA Sidney Glina, Brazil Julia Heiman, USA Chris McMahon, Australia Bob Millar, UK Alvaro Morales, Canada Michael Perelman, USA Marcel Waldinger, Netherlands
To present our experience with repairing penile fracture, based on clinical and magnetic resonance imaging (MRI) findings.
PATIENTS AND METHODS
Between December 2002 and October 2004, 14 men (19–64 years old) presented to our centre with a penile fracture. Two patients had urethral bleeding. MRI was used before surgery in all patients, and the repair comprised a localized longitudinal penile incision in 13 men. This incision was designed according to the tunical tear site and size already depicted by MRI. One case was managed conservatively, as MRI confirmed an intercavernosal haematoma with no tunical tear. The follow-up was 4–21 months.
The tear involved one corpus cavernosum in 11 patients; two were associated with urethral injury. The course after repair was uneventful in all men; the follow-up showed no erectile dysfunction in any. The patients reported neither pain nor penile curvature during erection.
MRI is a simple and informative investigation for evaluating and documenting a penile fracture, and it improves the management plan.