![]() Next to the detection of clinically false positive cases, presurgical imaging can reduce the surgical trauma: since most PFs are located in the proximal part of the penis, many cases are accessible via a minimal penoscrotal surgical approach, which is much less traumatic than complete degloving–if the lesion is diagnosed and characterized presurgically by imaging ( 7). Others report good diagnostic accuracies for magnetic resonance imaging (MRI) and ultrasound (US) ( 5, 6). The role of imaging in patients with suspected PF is controversial with some authors assuming that PF is mainly a clinical diagnosis and should be treated surgically without delay ( 2- 4). reported a mean intraoperative lesion size in the tunica albuginea of 1.5 cm and concomitant urethral trauma in 16% of cases ( 2). Onomatopoetically, the sound is described as cracking or snapping ( 1, 4).Īdditionally, PF can be complicated by urethral laceration, noted clinically by urethral bleeding and urinary retention however, absence of these symptoms does not rule out this important complication ( 1). Common clinical symptoms are hematoma, detumescence, fracture sound, and pain ( 4). Fracture is typically the result of an injury during intercourse or manipulation ( 3), causing, in most cases, a unilateral tear of the tunica albuginea ( 1, 4). Penile fracture (PF) is a rare urologic emergency that is characterized by a rupture of the tunica albuginea enclosing the corpora cavernosa due to blunt trauma ( 1, 2). Keywords: Diagnostic accuracy imaging magnetic resonance imaging (MRI) penile fracture (PF) ultrasound (US) Sensitivity and specificity were 91.9% (95% CI: 78.7–97.2%) and 90.6% (95% CI: 75.8–96.8%) for MRI and 71.4% (95% CI: 45.4–88.3%) and 100.0% (95% CI: 81.6–100.0%) for US, respectively.Ĭonclusions: The results of the present study suggest that MRI is more suitable to confirm PF and identify the site of the associated tunica albuginea tear while US is a good tool for ruling out PF. A total of 69 MRI and 31 US examinations were included. Results: Overall, 46 of 88 included patients (54.5%) had a confirmed diagnosis of PF. Next to diagnostic accuracy, we describe typical imaging findings such as penile hematoma, tear of the tunica albuginea including location in terms of side and shaft segment affected, and involvement of corpus spongiosum. Inclusion criteria were: (I) patient age ≥18 years, (II) examination between 20, (III) information available on patient’s history and clinical presentation, and (IV) documented final diagnosis in discharge letter. Methods: We systematically reviewed MRI and US examinations performed in our institution between 20 and correlated imaging reports with either intraoperative finding or final clinical diagnosis. To obtain further evidence concerning the diagnostic accuracies of magnetic resonance imaging (MRI) and ultrasound (US) in the diagnostic assessment of patients with suspected PF. While most authors agree that rapid surgical therapy of this rare pathology leads to the best patient outcome, the role of imaging is highly controversial in the published literature. Interviews with Outstanding Guest Editorsīackground: Penile fracture (PF) is defined as rupture of the tunica albuginea of the corpora cavernosa.Policy of Dealing with Allegations of Research Misconduct. ![]() Policy of Screening for Plagiarism Process. ![]()
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