Penile fracture

Case contributed by Dr Praveen Jha

Presentation

Patient heard a 'crack' during vaginal intercourse.

Patient Data

Age: 30 years
Gender: Male

Transverse fracture of tunica albuginea is seen with fracture extending through right corpora cavernosa, and collection beneath the Buck's fascia. Marked surrounding edema in penis is seen.

Intra-operatively, tear corresponding to MR images were found and well repaired.

Case Discussion

This is a classical MR imaging features of transverse penile fracture.

Since, fracture depth is more than AP dimension, its considered a transverse fracture. At the same time, if AP dimension is more than depth, it is considered a longitudinal fracture.

Also, noted in this case, is the depth of fracture is not extending to urethra. Patient did not have hematuria, and urethra was found intact on surgical exploration.

Courtesy: Surgery done by Dr. Ninan Thomas, and my sincere thanks for his operative image contributions.

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