• Rüştü Türkay, Mustafa Gürkan Yenice, Sema Aksoy, Gökhan Şeker, Selçuk Şahin, Ercan İnci, Volkan Tuğcu, and Ali İhsan Taşcı.
• Department of Radiology, İstanbul Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey. rustuturkay@hotmail.com.
• Ulus Travma Acil Cer. 2016 Nov 1; 22 (6): 549-552.

BackgroundPenile fracture is a surgical emergency defined as rupture of the tunica albuginea. Although most cases can be diagnosed with clinical evaluation, it has been stated in the literature that diagnosis in as many as 15% of cases can be challenging. In uncertain cases, imaging can help determine diagnosis.MethodsPresent study included 20 cases where diagnosis could not be made with certainty and magnetic resonance imaging (MRI) was performed. MR images were examined for tunical rupture and accompanying pathologies. When rupture was observed, localization and length of rupture were noted. All patients underwent degloving surgery. All imaging findings were compared to surgical findings.ResultsMRI revealed 19 tunical ruptures. In 1 case, hematoma was seen with no sign of penile fracture. No urethral injuries were found. All MRI findings were confirmed during surgery.ConclusionPerforming MRI in clinically equivocal cases can provide crucial data to make precise diagnosis and improve patient management.

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