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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.
Abstract:
A 37-year-old man presented with pain and abnormal erectile angle following trauma during sexual intercourse. A diagnosis of partial tear of penile suspensory ligament (PSL) was made on magnetic resonance imaging (MRI). Conservative management of the tear was failed and the patient remained symptomatic. Persistent abnormal erectile angle and MRI findings necessitated surgical repair which resulted in a favorable outcome and patient satisfaction.
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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