[Changes in the corpora cavernosa penis in patients with a traumatic lesion of the urethral canal]

Contrast investigations of corpus cavernosum penis (CCP) have been performed in 42 patients with urethral traumas. A hip-bone fracture and urethral injury were associated with CCP rupture in 76% of the cases. Sexual dysfunction was registered in all the patients, a complete erectile failure occurred in 57.2% of them. Indications to and an original technique of cavernosography are described. 32 patients developed venous blood CCP outflow 8 ones fibrous replacement of the cavernous tissue staged by x-ray examination as stage I and II. Static cavernosography is able to effectively determine changes in the cavernous tissue resultant from urethral trauma, disorders in the CCP venous outflow, a degree of morphological abnormalities in the cavernous tissue and, consequently, should become a mandatory examination for such patients, especially before endophalloplasty.