The management of penile fracture based on clinical and magnetic resonance imaging findings

BJU Int. 2005 Aug;96(3):373-7. doi: 10.1111/j.1464-410X.2005.05634.x.

Abstract

Objective: 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.

Results: 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.

Conclusion: MRI is a simple and informative investigation for evaluating and documenting a penile fracture, and it improves the management plan.

MeSH terms

  • Adult
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Penis / injuries*
  • Penis / pathology
  • Penis / surgery
  • Rupture
  • Suture Techniques
  • Sutures
  • Treatment Outcome