Acute penile trauma: imaging features in the emergency setting

  • Diletta CozziEmail author
  • Giovanni Battista Verrone
  • Simone Agostini
  • Marco Bartolini
  • Giuseppe D’Amico
  • Silvia Pradella
  • Vittorio Miele


In an emergency department, penile traumas are uncommon and a prompt diagnosis is necessary. Penile injury may result from penetrating and non-penetrating trauma. Non-penetrating injuries can produce cavernosal hematomas or fractures: if not treated promptly, these lesions can result in fibrosis or erectile dysfunction. Penile traumatic lesions need a clinical approach first, but a radiological study is often required: ultrasonography with color and spectral Doppler study is usually the first approach. In some cases, magnetic resonance imaging may be performed to better recognize even small discontinuity of the tunica albuginea. Radiologists have to be aware of the various radiological patterns of penile traumatic lesions, in order to establish a prompt and correct diagnosis.


Penile trauma Fracture Priapism Ultrasonography Magnetic resonance Retrograde urethrography 


Author Contributions

Cozzi D, Verrone GB and Pradella S contributed to manuscript writing/editing; D’Amico G and Agostini S contributed to manuscript writing/editing, data collection and management; Bartolini M and Miele V contributed to protocol/project development.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest related to the publication of this article.

Ethical standard

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Italian Society of Medical Radiology 2019

Authors and Affiliations

  1. 1.Department of RadiologyCareggi University HospitalFlorenceItaly
  2. 2.Department of Emergency RadiologyCareggi University HospitalFlorenceItaly

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