Penile fracture

Case contributed by Dr Hakan Ayyildiz

Presentation

Pain in the penis after patient fell prone before intercourse about 30 minutes ago, before he presented to emergency service.

Patient Data

Age: 30 years
Gender: Male
Ultrasound

Loss of integrity in the tunica albuginea and corpus cavernosum has been demonstrated. Also, a hematoma can be seen at the right lateral side of the penis.

Ultrasound

Rupture of corpus cavernosum has been demonstrated. Also, active bleeding can be seen. Color doppler images have shown intact cavernosal artery. 

Case Discussion

Penile fracture is a surgical emergency that requires prompt diagnosis. Ultrasound can be helpful to diagnose and penile fracture which can be confused with intracavernosal hematoma and rupture of the dorsal vein. Ultrasound can show the rupture of the tunica albuginea (which necessary to diagnose penile fracture), accompanying hematoma and rupture of corpus cavernosum. Ultrasound also can be helpful to diagnose an injury of the cavernosal artery and possible injury of the urethra. İn this case we can see rupture of tunica albuginea, corpus cavernosum and also hematoma. Color doppler images can show the integrity of the cavernosal artery on the right side. We can see also intact corpus spongiosum on upside of the images which makes us think the urethra is not damaged.

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