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Acute penile trauma: imaging features in the emergency setting
Diletta Cozzi1,2, Giovanni Battista Verrone3,4, Simone Agostini3,4
1Department of Radiology, Careggi University Hospital, Florence, Italy. dilettacozzi@gmail.com.
La Radiologia Medica
|July 15, 2019
Summary
Prompt diagnosis of penile trauma is crucial. Imaging like ultrasonography and MRI aids radiologists in identifying injuries, preventing complications such as erectile dysfunction.
Area of Science:
- Radiology
- Urology
- Emergency Medicine
Background:
- Penile traumas are infrequent but require prompt diagnosis.
- Injuries can be penetrating or non-penetrating, leading to cavernosal hematomas or fractures.
- Untreated penile lesions may cause fibrosis or erectile dysfunction.
Purpose of the Study:
- To outline the radiological patterns of penile traumatic lesions.
- To emphasize the importance of prompt and accurate diagnosis in emergency settings.
- To guide radiologists in identifying various penile injuries.
Main Methods:
- Clinical evaluation is the initial step for penile trauma.
- Ultrasonography with color and spectral Doppler is the primary imaging modality.
- Magnetic resonance imaging (MRI) may be used for subtle tunica albuginea disruptions.
Main Results:
- Non-penetrating trauma can result in cavernosal hematomas or fractures.
- Radiological findings vary depending on the type of penile injury.
- Early diagnosis through imaging is key to preventing long-term sequelae.
Conclusions:
- Radiologists must be familiar with the diverse imaging appearances of penile traumatic lesions.
- Accurate radiological diagnosis is essential for timely and appropriate management of penile trauma.
- Effective management can mitigate risks of fibrosis and erectile dysfunction.
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