Penile fracture

Case contributed by Dr Maulik S Patel

Presentation

35 yrs. Penile trauma 19 days back. History of haematuria at time of injury. Suprapubic cystostomy at present.

Patient Data

Age: 35
Ultrasound

See below

Fluoroscopy

See below

Case Discussion

USG (19 days post trauma) - Proximal part of penile shaft is abnormal. There is ventral defect in tunica albugenia of left corpus cavernosum.Smaller ventral defect is seen in right cavernosum.

USG on 1st day - Hematoma of about 25 mm was noted in the same region - proximal shaft - ventral aspect. Diffuse penile odema was present. Possible tear of tunica was suggested. However, defect could not be localized at that time. Corpus spingiosum showed some mass effect possibly by hematoma.

RUG (courtesy - Dr NInad Shah) - Done after 15 days of trauma showed focal stricture with possible extravasation in proximal - penile urethra.

NO MR was done.

Surgery - Findings confirmed about both tunical tear. Urethral tear was also present at the same site.

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Case information

rID: 12961
Published: 11th Feb 2011
Last edited: 13th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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