Partial tear of penile suspensory ligament on magnetic resonance imaging: A case report

Mahyar Daskareh1, Ali Borhani2, Mahla Nabi1

  • 1Department of Radiology, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Urology Case Reports
|August 9, 2021
PubMed

Insights

A partial tear of the penile suspensory ligament (PSL) caused pain and abnormal erections after trauma. Surgical repair was successful, leading to favorable outcomes and patient satisfaction.

Area of Science:

  • Urology
  • Trauma Surgery
  • Medical Imaging

Background:

  • Penile trauma during sexual intercourse can lead to ligamentous injuries.
  • Partial tears of the penile suspensory ligament (PSL) are uncommon but can cause significant morbidity.
  • Magnetic resonance imaging (MRI) is a key diagnostic tool for evaluating penile injuries.

Observation:

  • A 37-year-old male experienced pain and an abnormal erectile angle post-coital trauma.
  • Initial conservative management for a diagnosed partial PSL tear failed to resolve symptoms.
  • Persistent abnormal erectile angle and MRI findings indicated the need for surgical intervention.

Findings:

  • Surgical repair of the partial penile suspensory ligament tear was performed.
  • The surgical intervention resulted in a favorable outcome for the patient.
  • Patient reported high satisfaction following the successful repair.

Implications:

  • Surgical repair should be considered for persistent penile suspensory ligament tears after failed conservative treatment.
  • Prompt diagnosis and appropriate management of penile trauma can restore erectile function and improve patient quality of life.
  • This case highlights the importance of surgical intervention in specific penile trauma cases for optimal functional recovery.

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