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European Radiology

, Volume 12, Issue 1, pp 113–120 | Cite as

MRI of penile fracture: diagnosis and therapeutic follow-up

  • Michael Uder
  • Dietrich Gohl
  • Masahide Takahashi
  • Harry Derouet
  • Luc Defreyne
  • Bernhard Kramann
  • Günther Schneider
Urogenital

Abstract

A rupture of corpus cavernosum (CC) is a rare injury of the erect penis. The present study describes the role of MRI for diagnosis and follow-up of this injury. Four patients with clinically suspected acute penile fractures underwent MRI. Imaging findings were confirmed at surgery. In three patients, follow-up MRI was also available at 1, 6 and 16 weeks after surgical repair. In all patients pre-contrast T1-weighted images (T1WI) clearly disclosed ruptures of CC, which depicted as discontinuity of low signal intensity of the tunica albuginea (TA). Concomitant subcutaneous haematoma were well visualised both on T1-weighted (T1WI) and T2-weighted images, whereas haematoma in CC were optimally demonstrated on contrast-enhanced T1WI. On follow-up MRI all fractures presented similar healing process. Shortly after the repair, the tunical suture showed an increase in signal intensity on pre-contrast T1WI and was strongly enhanced with the administration of contrast material. Then the tear site gradually recovered low signal intensity on all spin-echo sequences by 4 months after surgery. These serial findings may suggest the formation of vascularised granulation tissue during cicatrisation. Magnetic resonance imaging is of great value for the diagnosis and follow-up in patients with penile fracture.

Penis Fractures Penile injuries MR studies 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Michael Uder
    • 1
  • Dietrich Gohl
    • 1
  • Masahide Takahashi
    • 1
  • Harry Derouet
    • 2
  • Luc Defreyne
    • 3
  • Bernhard Kramann
    • 1
  • Günther Schneider
    • 1
  1. 1.Department of Radiology, University Hospital, Kirrberger Strasse 1, 66421 Homburg/SaarGermany
  2. 2.Department of Urology, University Hospital, Kirrberger Strasse 1, 66421 Homburg/SaarGermany
  3. 3.Department of Radiology and Medical Imaging, University Hospital of Gent, De Pintelaan 185, 6900 GentBelgium

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