Penile fracture: added value of novel assessment with contrast-enhanced ultrasound

What is it about?

Ultrasound (US) is easily accessible and is often the primary imaging modality used to delineate the nature and extent of penile fracture. Contrast enhanced ultrasound (CEUS) improved the ability of conventional US in imaging both macro- and micro- vasculature. Used as an adjunct to the conventional US, CEUS may offer added value US in evaluating the rupture site in the tunica albuginea, haematoma size and the herniation of the corpus cavernosum. CEUS may improve accuracy in locating the site of extravasation at the rupture of the tunica. Improved pre-operative evaluation of the penile fracture could offer benefit for surgical triage and planning and may allow for accurate ultrasound-guided marking of the fracture site for a targeted, minimally invasive surgical approach, as opposed to a degloving explorative surgery, to be performed.

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