Role of Ultraosonography in Grading of Penile Fractures

Abstract

INTRODUCTION: Penile fracture is an uncommon and less reported condition. Early diagnosis with corrective measures is the order of the day. AIM: To perform ultrasonography of penis and to understand its role in making correct diagnosis of fractures. To know how it will help surgeon in its management and in adopting a grading system. MATERIALS AND METHODS: Emergency evaluation of 15 cases of penile fractures by ultrasonography before surgery. Entire penis was scanned all along its length and circumference. Tunica albugenia was seen as white covering of both corpora cavernosa and break in its continuity is seen as wedge shape defect. Hematoma on either sides of tunica was well appreciated. RESULTS: After ultrasonography all patients underwent emergency surgery, the defect in corpora was well appreciated. Repair of tunica albugenia was done which confirmed our findings. CONCLUSION: Ultrasonography is the modality of choice for quick diagnosis, and no other radiological workup is required before surgery.