Clinical Features:
A 31-year-old male patient came with penile trauma.
Ultrasound Features:
- Irregular mixed echogenic area is noted in the right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.
- Color Doppler shows no vascularity within this mixed echogenic area.
- Cavernosal artery appears intact.
- Overlying skin appears thickened, and edematous with fat-plane irregularity with increased skin vascularity indicating inflammatory changes.
Remember:
Penile Fracture Grading:
Grade 0: Intact tunica albuginea. Hematoma superficial or deep to Buck's fascia
Grade I: Defect in the tunica albuginea and/or corpora cavernosa
Grade II: Defect in the tunica albuginea and/or corpora cavernosum. Associated peri-albugineal and/or cavernosal hematoma
Grade III: Defect in the tunica albuginea, Buck fascia (with hematoma) and the corpus spongiosum
Grade IV: Involvement of corpus spongiosum with urethra and/or vascular injury, with any vascular malformation
Ultrasound Diagnosis:
Grade II penile fracture
Ultrasound Images:
Irregular mixed echogenic area is noted in right corpora cavernosum near the root with adjacent tunica albuginea disruption & perialbugineal extension.
