[Fracture of the penis: value of echo-Doppler-color]
L Catala Deniz1, M A Rapariz González, J Valero Puerta
1Servicio de Radiodiagnóstico, Hospital Nuestra Señora del Pino, Las Palmas de Gran Canaria, España.
Objective:
A case of traumatic rupture of the corpora cavernosa evaluated by color Doppler ultrasonography is presented.
Methods:
A 43-year-old male consulted for a large penile hematoma that had presented 16 hours earlier during sexual intercourse. The patient was evaluated by Doppler ultrasound using a 5 Mhz linear probe. The vascular integrity of the penis was demonstrated by color Doppler ultrasonography of the cavernous arteries and penile veins.
Results:
Disruption at the base of the right corpus cavernosum associated with a small hematoma appeared as adjacent hypoechoic images. The color Doppler ultrasonic evaluation demonstrated the integrity of the arteries and cavernous veins and no pulsation of the hematoma, indicating conservative management. Four months after the trauma, no changes in erectile function or penile deviation have been observed.
Conclusions:
Color Doppler ultrasound is a useful diagnostic imaging technique in the assessment and follow-up of penile trauma.
