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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Sundry presentations of penile fracture and role of Ultrasonography and MRI in resolving the diagnostic and surgical plan dilemma- An analysis of six cases and literature review
Harbhupinder Singh, Harjinder Singh, Tejinderpal Kaur Grewal, Savleen Kaur

Background: Penile fracture is a relatively rare condition having sundry presentations andcan be diagnosed on history, clinical examination and ultrasonography. Fracture at the site of crus penis are rare and needs further preoperative radiological evaluation. Urgent surgical interventionis warranted for good long-term outcomes. Methods: We retrospectively reviewed the data of penile fracture patients who presented to our hospital between February 2022 and February 2023 .Detailed history, clinical examination and penile ultrasonography was done in all admitted patients and MRI pelvis was done in suspected case of penile crus injury in view of atypical presentation and normal ultrasonography.Surgical exploration was done in all admitted patients. Results: Six patients with penile fracture were included in the study.The most common cause of injury was vaginal intercourse. Exploration was done in four patients and two managed conservatively due to delayed presentation. Fractures were present in distal corpora, mid ventral corpora, proximal dorsal corpous and left crus region. Repaired with 3-0 absorbable and non-absorbable sutures. There was no post operative sequelae in all the operated patients. Conclusion: Penile fracture is usually diagnosed on history, clinical examination and ultrasonography but MRI is very promising in diagnosing and surgical planning of penile crus injuries. Eary surgical intervention is preferred as it is associated with better outcomes and fewer long term complications.

 
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