Penile fracture grading

Last revised by Henry Knipe ◉ on 10 Dec 2024

Citation, DOI, disclosures and article data

Citation:

Hacking C, Knipe H, Gaillard F, Penile fracture grading. Reference article, Radiopaedia.org (Accessed on 08 Mar 2025) https://doi.org/10.53347/rID-71758

DOI:

https://doi.org/10.53347/rID-71758

Permalink:

https://radiopaedia.org/articles/71758

rID:

71758

Article created:

21 Oct 2019, Craig Hacking ◉

Disclosures:

At the time the article was created Craig Hacking had no recorded disclosures.

View Craig Hacking's current disclosures

Last revised:

10 Dec 2024, Henry Knipe ◉

Disclosures:

At the time the article was last revised Henry Knipe had the following disclosures:

Micro-X Ltd, Shareholder (past)

These were assessed during peer review and were determined to not be relevant to the changes that were made.

View Henry Knipe's current disclosures

Revisions:

5 times, by 3 contributors - see full revision history and disclosures

Systems:

Urogenital

Sections:

Classifications

A penile fracture grading system has been developed for use during ultrasound examination of penile fractures¹.

Usage

This grading system is not widely used, validated, or recognized by relevant urological surgical societies. Nonetheless, this system, which relies on ultrasound assessment of the tunica albuginea, corpora of the penis, urethra and other fascias ¹, helps the sonographer and radiologist focus on key structures.

Classification

grade 0: intact tunica albugenia with a hematoma superficial or deep to Buck's fascia
grade I: defect in the tunica albugenia and/or corpora cavernosa
grade II: defect in the tunica albuginea and/or corpora cavernosum with associated peri-albugineal and/or cavernosal hematoma
grade III: defect in the tunica albuginea, Buck fascia (with hematoma) and the corpus spongiosum
grade IV: involvement of corpus spongiosum with urethra and/or vascular injury, with any vascular malformation