The value of magnetic resonance imaging in the diagnosis of suspected penile fracture with atypical clinical findings

Purpose: We studied the use of magnetic resonance imaging (MRI) in the diagnosis of suspected penile fracture. Materials and Methods: Penile fracture diagnosis was based on classic history and typical physical signs in 8 patients who were treated surgically without any further diagnostic procedure. Sonography, cavernosography and MRI were performed in 4 patients with equivocal findings. Results: Only MRI identified rupture of the corpus cavernosum in all 4 cases. Conclusions: MRI is the most accurate imaging procedure when penile fracture is suspected but clinical findings are unusual.