Ultrasound and MRI in the diagnosis of penile induration (Peyronie's Disease)


Penile induration, a disease of connective tissue, requires the precise delineation and differentiation of inflammatory changes (plaques) for accurate therapy. Seventy two patients with clinically suspected Induratio penis plastica (IPP) underwent ultrasound examination between 1984 and 1991. In 37 patients (aged 18 to 80) the diagnosis was proven by ultrasound. Out of this group 27 patients were examined with magnetic resonance imaging (MRI), 15 of them with additional intravenous application of adolinium DTPA (Gd-DTPA). All examinations were performed within four weeks. The results showed, that ultrasound was able to detect plaques and changes of the tunica albuginea in all 37 cases, but MRI was more sensitive in the detection of possible inflammatory change (T2-prolongation and moderate Gd-DTPA enhancement in gradient-echo sequences.

MRI revealed inflammatory changes in 22 of 27 examined patients while ultrasound detected only nine such cases out of 37. Ultrasound is the method of choice in diagnosing IPP, due to the overall sensitivity to plaques and changes in the tunica. On the other hand MRI offers valuable additional information with respect to inflammatory changes particularly after Gd-DTPA. Therefore MRI has the potential to improve therapeutic planning and should be used in monitoring therapeutic effects.

This is a preview of subscription content, access via your institution.


  1. 1.

    Weißbach L, Wiedman T (1984) Induratio Penis plastica Symposium, Berichtsband, Brimberg-Verlag, Aachen: 9–22

    Google Scholar 

  2. 2.

    Ludwig W, Wasserburger K (1968) Die Radiumbehandlung der Induratio Penis Plastica. Z Urol 61: 319–322

    Google Scholar 

  3. 3.

    Köstler E (1975) Induratio Penis Plastica. Pathogenese, Klinik und Therapie, Dermatol Monatsschr 161: 388–398

    Google Scholar 

  4. 4.

    Schubert GE (1984) Induratio Penis Plastica (IPP). Path omorphologische Gesichtspunkte. IPP-Symposium, Induratio Penis Plastica Berichtsband, Brimberg-Verlag; Achen: 23–37

    Google Scholar 

  5. 5.

    Friedrich M, Melâmy A (1983) Sonographic evaluation of Peyronie's disease. Prog Reprod Biol Med 9: 27–36

    Google Scholar 

  6. 6.

    Hamm B, Friedrich M, Kelamy A (1985) Stellenwert der Penissonographie in der Andrologie. Fortschr Geb Röntgenstr 143: 49–53

    Google Scholar 

  7. 7.

    Helweg G, Rauschmair H, zur Nedden D, Judmaier W, Sief R (1989) Die Wertigkeit der Sonographie in der Therapieüberwachung der Induratio Penis Plastica (Peyronie's Disease). Fortschr Geb Röntgenstr 151: 298–301

    Google Scholar 

  8. 8.

    Helweg G (1991) Die Wertigkeit bildgebender Verfahren in der Diagnostik und Therapiekontrolle der Induratio Penis Plastica (Peyroniekrankheit). Urologe [A] 30: 1–5

    Google Scholar 

  9. 9.

    Hricak H, Marotti M, Gilbert T, Lue T, Wetzel L, McAnich J, Tanako J (1988) Normal penile anatomy and abnormal penile conditions: Evaluation with MR-imaging. Genitourin Radiol 169: 683–690

    Google Scholar 

Download references

Author information



Corresponding author

Correspondence to G. Helweg.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Helweg, G., Judmaier, W., Wicke, K. et al. Ultrasound and MRI in the diagnosis of penile induration (Peyronie's Disease). Eur. Radiol. 2, 230–232 (1992). https://doi.org/10.1007/BF00595835

Download citation

Key words

  • Induratio penis plastica (IPP)
  • Peyroni'es Disease
  • Ultrasound
  • MRI
  • Gadolinium-enhanced