Penile fracture grading (diagrams)

Case contributed by Craig Hacking
Diagnosis not applicable
Diagram

Normal anatomy and grade 0 - 4 injuries.

Case Discussion

Penile fracture grading 1:

  • 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

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