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Penile fracture5/29/2023 ![]() A hypoechoic breach in this band of fibrous tissue may be seen especially along the penile longitudinal axis. The tunica albuginea is usually seen as a hyperechoic linear band in the penis covering the corpora cavernosa and the corpus spongiosum. A retrograde urethrogram may be of use in the post-operative period particularly if there is urethral involvement. MRI of the penis is the most useful study to determine the extent of injury. 5 proposed an ultrasound-based grading system of penile rupture that is helpful in defining the extent of the injury.Įmergency ultrasound is usually the initial imaging modality, but because the penis is often markedly swollen and painful, it may not be worthwhile. a more common etiology in Middle Eastern populationsįractures usually occur in distal two-thirds of the penis 1, and is usually unilateral, being more common on the right 7.the practice of 'taqaandan': manually bending the erect penis to achieve detumescence.non-sexual trauma involving an erect penis (e.g.during vaginal sexual intercourse is most common cause in Western populations.sexual intercourse: generally occurs when the erect penis hits against the perineum or pubic symphysis. ![]() In the West, it is assumed that most penile rupture is due to trauma during sex, however in the Middle East, taqaandan is not uncommon 7: However, urethral injury is associated only with a very severe injury. The corpora cavernosa is injured as soon as tunica albuginea is breached. During an erection the tunica albuginea thins and thus it is susceptible to mechanical injury. ![]()
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