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음경 응급 상황-초음파 영상의 스펙트럼 이해.

Anant Sharma1, Aanchal Bhayana1, Amita Malik1

  • 1Department of Radiodiagnosis and Interventional Radiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

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|April 9, 2025
PubMed
Summary
This summary is machine-generated.

Ultrasound (US) and color Doppler imaging are crucial for diagnosing uncommon penile emergencies. These imaging techniques help differentiate between infectious, vascular, and traumatic causes, enabling prompt treatment.

Keywords:
AbscessPenile EmergenciesPeyronie’s DiseasePriapismThrombophlebitisUltrasound

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Area of Science:

  • Radiology
  • Urology
  • Emergency Medicine

Background:

  • Penile emergencies, though uncommon, present with diverse etiologies including infectious, vascular, traumatic, and multifactorial origins.
  • Accurate and timely diagnosis is critical for effective management of these emergent conditions.
  • Conventional diagnostic methods may be insufficient for rapid and precise identification of penile emergencies.

Purpose of the Study:

  • To highlight the imperative role of ultrasound (US) and color Doppler imaging in the emergency diagnosis of penile conditions.
  • To delineate the specific imaging findings associated with various penile emergencies.
  • To emphasize the importance of radiologist-urologist collaboration for optimal patient outcomes.

Main Methods:

  • Utilized ultrasound (US) to depict hypoechoic collections in infectious conditions like abscess and Fournier's gangrene.
  • Employed color Doppler imaging to assess vascular etiologies such as penile Mondor disease (PMD) and priapism.
  • Applied US to identify traumatic injuries, including penile fracture and urethral injuries, and to visualize urethral calculus.

Main Results:

  • US effectively visualizes infections (abscess, Fournier's gangrene) and traumatic injuries (penile fracture, urethral discontinuity, hematoma).
  • Color Doppler imaging differentiates penile Mondor disease (absent flow, non-compressible vein) and characterizes priapism (high/low flow).
  • Imaging findings for Peyronie's disease (tunica thickening, calcified plaques) and urethral calculus (echogenic focus with shadowing) were identified.

Conclusions:

  • Ultrasound and color Doppler imaging are indispensable tools for the rapid and accurate diagnosis of diverse penile emergencies.
  • Specific imaging features allow for differentiation between infectious, vascular, and traumatic penile pathologies.
  • Effective collaboration between radiologists and urologists is essential for timely diagnosis and prompt treatment of penile emergencies.