EURORAD ESR

Case 8581

Penile fracture with urethral injury

Author(s)
Perdikakis E, Chryssou EG, Apostolaki E, Karantanas A.
 
Patient
male, 60 year(s)
 
 
  • Figure 1
    Physical examination

    Physical examination shows deformed penis (arrow) with evidence of subcutaneous hematoma formation that extends to the scrotal area (open arrow)

     
     
     
  • Figure 2
    Retrograde urethrography

    The retrograde urethrograms (a),(b) demonstrate incomplete disruption of the proximal bulbous urethra with extensive contrast leakage (arrow). Note contrast in the posterior urethral segment (open arrow) extending up...

     
     
     
  • Figure 3
    US transverse plane

    The transverse sonogram shows inhomogeneity and swelling of the corpus spongiosum (arrow) along with evidence of rupture of tunica albuginea and Buck’s fascia and hematoma formation (open arrow). The measurements...

     
     
     
  • Figure 4
    US longitudinal plane

    The longitudinal US image shows loss of echotexture in the anatomic location of the bulbous urethra (open arrow). Note the presence of the catheter in the more distal urethra (arrow)

     
     
     
  • Figure 5
    Retrograde urethrography

    The retrograde urethrogram depicts a focal high grade stricture (arrow) in the anterior urethra.

     
     
     
Physical examination shows deformed penis (arrow) with evidence of subcutaneous hematoma formation that extends to the scrotal area (open arrow)
 
The retrograde urethrograms (a),(b) demonstrate incomplete disruption of the proximal bulbous urethra with extensive contrast leakage (arrow). Note contrast in the posterior urethral segment (open arrow) extending up into the bladder, evidence of the partial urethral tear.
 
The transverse sonogram shows inhomogeneity and swelling of the corpus spongiosum (arrow) along with evidence of rupture of tunica albuginea and Buck’s fascia and hematoma formation (open arrow). The measurements between indexes correspond to the corpora cavernosa (1), (2) and corpus spongiosum (3). Note difference in size and echotexture among them due to trauma.
 
The longitudinal US image shows loss of echotexture in the anatomic location of the bulbous urethra (open arrow). Note the presence of the catheter in the more distal urethra (arrow)
 
The retrograde urethrogram depicts a focal high grade stricture (arrow) in the anterior urethra.
 
 
 
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