MRI of penile fracture: what should be a tailored protocol in emergency?
- 323 Downloads
To conduct a review of literature to summarize the existing MRI protocols for penile trauma, suggesting a tailored protocol to reduce costs and time of examination.
Materials and methods
A systematic search was performed in Medline, Embase, Cochrane Library, and Cinahl databases from 1995 to 2015 to identify studies evaluating penis trauma with MRI examination. Studies were included if there was the description of MRI protocol with at least sequences and orthogonal planes used. We chose a systematic approach for data extraction and descriptive synthesis.
12 articles were included in our study. Among the list of 12 articles: 2 were case reports, 3 were clinical series, and 7 were reviews. Clinical trials were not found. There is no unanimous consensus among the authors. Summarizing the data, the most used protocol is characterized by T2 sequences in three orthogonal planes plus T1 sequences in one plane (either axial or sagittal) without contrast medium injection.
There is a lack of a standard protocol. A tailored protocol to answer the diagnostic question, reducing costs and time of examination, is characterized by T2 sequences in three orthogonal planes plus at least a T1 sequence (either axial or sagittal plane).
KeywordsEmergency MRI Penis Fracture Tailored protocol Urology
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
The manuscript does not contain clinical studies or patient data.
- 1.Garufi A, Barozzi L, Priolo GD, Valentino M, Mandalà ML (2010) Traumi del pene. Radiol Med 115:S220–S227Google Scholar
- 2.Mellinger BC (1993) Blunt traumatic injuries of the penis. In: Hashmat AI, Das S (eds) The penis. Lea & Febiger, Philadelphia, pp 105–113Google Scholar
- 9.Whiting P, Rut’s AW, Reitsma JB, Bossuyt PM, Kleijnen J (2003) The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol 10:3–25Google Scholar
- 22.Miller S, McAninch JW (1990) Penile fracture and soft tissue injury. J Urol 144:987–991Google Scholar