nach oben

Erschienen in:

01.12.2019 | COMPUTED TOMOGRAPHY

Acute penile trauma: imaging features in the emergency setting

verfasst von: Diletta Cozzi, Giovanni Battista Verrone, Simone Agostini, Marco Bartolini, Giuseppe D’Amico, Silvia Pradella, Vittorio Miele

Erschienen in: La radiologia medica | Ausgabe 12/2019

Einloggen, um Zugang zu erhalten

Abstract

In an emergency department, penile traumas are uncommon and a prompt diagnosis is necessary. Penile injury may result from penetrating and non-penetrating trauma. Non-penetrating injuries can produce cavernosal hematomas or fractures: if not treated promptly, these lesions can result in fibrosis or erectile dysfunction. Penile traumatic lesions need a clinical approach first, but a radiological study is often required: ultrasonography with color and spectral Doppler study is usually the first approach. In some cases, magnetic resonance imaging may be performed to better recognize even small discontinuity of the tunica albuginea. Radiologists have to be aware of the various radiological patterns of penile traumatic lesions, in order to establish a prompt and correct diagnosis.

Lucio D (2016) The role of ultrasonography in the diagnosis and management of penile trauma. J Ultrasound 19:161–166. https://doi.org/10.1007/s40477-016-0195-4 CrossRef

Bertolotto M, Calderan L, Cova MA (2005) Imaging of penile traumas—therapeutic implications. Eur Radiol 15:2475–2482. https://doi.org/10.1007/s00330-005-2900-0 CrossRefPubMed

Avery LL, Scheinfeld MH (2013) Imaging of penile and scrotal emergencies. Radiographics 33:721–740. https://doi.org/10.1148/rg.333125158 CrossRefPubMed

Bertolotto M, Pozzi Mucelli R (2004) Non penetrating penile traumas: sonographic and Doppler features. Am J Roentgenol 183:1085–1089CrossRef

Wilkins CJ, Sriprasad S, Sidhu PS (2003) Color Doppler ultrasound of the penis. Clin Radiol 58:514–523. https://doi.org/10.1016/S0009-9260(03)00112-0 CrossRefPubMed

Mehrjardi MZ, Darabi M, Bagheri SM et al (2017) The role of ultrasound (US) and magnetic resonance imaging (MRI) in penile fracture mapping for modified surgical repair. Int Urol Nephrol 49:937–945. https://doi.org/10.1007/s11255-017-1550-x CrossRef

Kirkham A (2012) MRI of the penis. Br J Radiol 85:S86–S93CrossRef

Pretorius ES, Siegelman ES, Ramchandani P et al (2001) MR imaging of the penis. Radiographics 21:S283–S299CrossRef

Choi MH, Kim B, Ryu JA et al (2000) MR imaging of acute penile fracture. Radiographics 20:1397–1405CrossRef

10.

Bookstein JJ, Lang EV (1987) Penile magnification pharmacoarteriography: details of intrapenile arterial anatomy. AJR 148:883–888CrossRef

11.

Bhatt S, Kocakoc E, Rubens DJ (2005) Sonographic evaluation of the penile trauma. J Ultrasound Med 24:993–1000CrossRef

12.

Wiswell TE, Tencer CA, Welch CA et al (1993) Circumcision in children beyond the neonatal period. Pediatrics 92(6):791–793PubMed

13.

Kim JH, Park JY, Song YS (2014) Traumatic penile injury: from circumcision injury to penile amputation. Biomed Res Int. https://doi.org/10.1155/2014/375285 CrossRefPubMedPubMedCentral

14.

Vossough A, Pretorius ES, Siegelman ES et al (2002) Magnetic Resonance Imaging of the penis. Abdom Imaging 27:640–659CrossRef

15.

Rahman NU, Elliott SP, McAninch JW (2004) Self-inflicted male urethral foreign body insertion: endoscopic management and complications. BJU Int 94(7):1051–1053CrossRef

16.

Cho DS, Kim SJ, Choi JB (2003) Foreign bodies in urethra and bladder by implements used during sex behavior. Korean J Urol 44:1131–1134

17.

Bertolotto M, Neumaier CE (1999) Penile sonography. Eur Radiol 9(Suppl 3):S407–S412CrossRef

18.

El Bahnasawy MS, Gohma MA (2000) Penile fractures: the successful outcome of immediate surgical intervention. Int J Impot Res 12:273–277CrossRef

19.

Mydlo JH, Harris CF, Brown JG (2002) Blunt, penetrating and ischemic injuries to the penis. J Urol 168:1433–1435CrossRef

20.

Saglam E, Tarhan F, Hamarat MB et al (2017) Efficacy of magnetic resonance imaging for diagnosis of penile fracture: a controlled study. Investig Clin Urol 58:255–260. https://doi.org/10.4111/icu.2017.58.4.255 CrossRefPubMedPubMedCentral

21.

Sawh SL, O’Leary FM et al (2008) Fractured penis: a review. Int J Impot Res 20(4):366–369CrossRef

22.

Beysel M, Tekin A, Gurdal M et al (2002) Evaluation and treatment of penile fractures: accuracy of clinical diagnosis and the value of corpus cavernosography. Urology 60:492–496CrossRef

23.

Shenfeld OZ, Gnessin E (2011) Management of urogenital trauma: state of the art. Curr Opin Urol 21(6):449–454CrossRef

24.

Ruckle HC, Hadley HR, Lui PD (1992) Fracture of penis: diagnosis and management. Urology 40:33–35CrossRef

25.

Swanson DEW, Polackwich AS, Helfand BT et al (2014) Penile fractures: outcomes of early surgical intervention. Urology 84(5):1117–1121. https://doi.org/10.1016/j.urology.2014.07.034 CrossRefPubMed

26.

Nomura JT, Sierzenski PR (2010) Ultrasound diagnosis of penile fracture. J Emerg Med 38(3):362–365CrossRef

27.

Kervancioglu S, Ozkur A, Bayram MM (2005) Color Doppler sonographic findings in penile fracture. J Clin Ultrasound 33:38–42CrossRef

28.

Kachewar S, Kulkarni D (2011) Ultrasound evaluation of penile fractures. Biomed Imaging Interv J 7:e27PubMedPubMedCentral

29.

Lee SH, Bak CW, Choi MH et al (2008) Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int 101:211–215PubMed

30.

Guler I, Odev K, Kalkan H et al (2015) The value of magnetic resonance imaging in the diagnosis of penile fracture. Int Braz J Urol 41:325–328CrossRef

31.

Uder M, Gohl D, Takahashi M (2002) MRI of penile fracture: diagnosis and therapeutic follow up. Eur Radiol 12:113–120CrossRef

32.

Turkay R, Yenice MG, Aksoy S et al (2016) Contribution of MRI to clinically equivocal penile fracture cases. Ulus Travma Acil Cerrahi Derg 22(6):549–552PubMed

33.

Morris SB, Miller MA, Anson K (1998) Management of penile fracture. J R Soc Med 91:427–428CrossRef

34.

Forman HP, Rosenberg HK, Snyder HM (1989) Fractured penis: sonographic aid to diagnosis. AJR Am J Roentgenol 153:1009–1010CrossRef

35.

Pavlice P, Barozzi L, Menchi I (2003) Imaging of male urethra. Eur Radiol 13:1583–1596CrossRef

36.

Eke N (2002) Fracture of the penis. Br J Surg 89:555–565CrossRef

37.

Garofalo M, Bianchi L, Gentile G et al (2015) Sex-related penile fracture with complete urethral rupture: a case report and review of literature. Arch Ital Urol Androl 87(3):260–261. https://doi.org/10.4081/aiua.2015.3.260 CrossRefPubMed

38.

Nehru-Babu M, Hendry D, Ai-Saffar N (1999) Rupture of the dorsal vein mimicking fracture of the penis. BJU Int 84:179–180CrossRef

39.

Brant WO, Bella AJ, Garcia MM et al (2007) Isolated septal fibrosis or hematoma—atypical Peyronie’s disease? J Urol 177(1):179–182. https://doi.org/10.1016/j.juro.2006.08.065 CrossRefPubMed

40.

Witt MA, Goldstein I, Saenz de Tejada I et al (1990) Traumatic laceration of intracavernosal arteries: the pathophysiology of non-ischemic, high-flow, arterial priapism. J Urol 143:129–132CrossRef

41.

McAninch JW (2004) Disorders of the penis and male urethra. In: McAninch JW, Lue TF (eds) Smith and Tanagho’s general urology, 18th edn. McGraw-Hill, New York, pp 612–626

42.

Sadeghi-Nejad H, Dogra V, Seftel AD et al (2004) Priapism. Radiol Clin N Am 42:427–443CrossRef

43.

Bastuba MD, Saenz de Tejada I, Dinlenc CZ et al (1994) Arterial priapism: diagnosis, treatment and long-term follow up. J Urol 151:1231–1237CrossRef

44.

Bertolotto M, Quaia E, Pozzi Mucelli F et al (2003) Color Doppler imaging of posttraumatic priapism before and after selective embolization. Radiographics 23:495–503. https://doi.org/10.1148/rg.232025007 CrossRefPubMed

45.

Hakim LS, Kulaksizoglu H, Mulligan R et al (1996) Evolving concepts in the diagnosis and treatment of arterial high-flow priapism. J Urol 155:541–548CrossRef

46.

Harding JR, Hollander JB, Bendick PJ (1993) Chronic priapism secondary to a traumatic arteriovenous fistula of the corpus cavernosum. J Urol 150:1504–1506CrossRef

47.

Pautler SE, Brock GB (2001) Priapism: from Priapus to the present time. Urol Clin N Am 28(2):391–403CrossRef

48.

Tay YK, Spernat D, Rzetelski-West K et al (2012) Acute management of priapism in men. BJU Int 109:15–21CrossRef

49.

Savoca G, Pietropaolo F, Scieri F et al (2004) Sexual function after highly selective embolization of cavernous artery in patients with high-flow priapism: long-term follow up. J Urol 172:644–647CrossRef

Titel: Acute penile trauma: imaging features in the emergency setting
verfasst von: Diletta Cozzi
Giovanni Battista Verrone
Simone Agostini
Marco Bartolini
Giuseppe D’Amico
Silvia Pradella
Vittorio Miele
Publikationsdatum: 01.12.2019
Verlag: Springer Milan
Erschienen in: La radiologia medica / Ausgabe 12/2019
Print ISSN: 0033-8362
Elektronische ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-019-01065-1

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Acute penile trauma: imaging features in the emergency setting

Abstract

Neu im Fachgebiet Radiologie

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Klinikreform soll zehntausende Menschenleben retten

Darf man die Behandlung eines Neonazis ablehnen?

Update Radiologie

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2019

Primary pulmonary lymphoma: imaging findings in 30 cases

Interventional radiology protocol for treatment of esophagogastric anastomotic leakage

Whole-body computed tomography: a new point of view in a hospital check-up unit? Our experience in 6516 patients

Dual-energy CT: theoretical principles and clinical applications

Third-generation dual-source dual-energy CT in pediatric congenital heart disease patients: state-of-the-art

Clostridium difficile colitis: CT findings and differential diagnosis

Neu im Fachgebiet Radiologie

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Klinikreform soll zehntausende Menschenleben retten

Darf man die Behandlung eines Neonazis ablehnen?

Update Radiologie