MR Imaging of Penile Pathology and Prostheses

Overview

Journal Abdom Radiol (NY)

Publisher Springer

Specialties Gastroenterology
Radiology

Date 2024 Jul 27

PMID 39066812

Authors

Naveen Rajamohan

Harit Kapoor

Aman Khurana

Leslie Nelson

Halemane S Ganesh

Gaurav Khatri

Rashmi T Nair

Affiliations

Soon will be listed here.

Abstract

Penile MRI is a vital yet underutilized diagnostic tool that provides detailed information crucial for managing various penile pathologies. Due to its infrequent use, many radiology trainees lack confidence in interpreting these exams. This article reviews the anatomy, key technical considerations, and interpretive pearls for penile trauma, Peyronie's disease, priapism, penile neoplasms, prosthesis evaluation, and a few miscellaneous conditions. Through illustrative case examples, this review aims to enhance the understanding and proficiency of radiologists in performing and interpreting penile MRI in these clinical scenarios.

References

Pretorius E, Siegelman E, Ramchandani P, Banner M . MR imaging of the penis. Radiographics. 2001; 21 Spec No:S283-98; discussion S298-9. DOI: 10.1148/radiographics.21.suppl_1.g01oc24s283. View

Parker 3rd R, Menias C, Quazi R, Hara A, Verma S, Shaaban A . MR Imaging of the Penis and Scrotum. Radiographics. 2015; 35(4):1033-50. DOI: 10.1148/rg.2015140161. View

Okolokulak E, Volchkevich D . Vascularization of the male penis. Rocz Akad Med Bialymst. 2005; 49:285-91. View

Gomez Varela C, Yeguas L, Couto Rodriguez I, Vila M . Penile Doppler Ultrasound for Erectile Dysfunction: Technique and Interpretation. AJR Am J Roentgenol. 2020; 214(5):1112-1121. DOI: 10.2214/AJR.19.22141. View

Tu L, Spektor M, Ferrante M, Mathur M . MRI of the Penis: Indications, Anatomy, and Pathology. Curr Probl Diagn Radiol. 2019; 49(1):54-63. DOI: 10.1067/j.cpradiol.2018.12.004. View

Vossough A, Pretorius E, Siegelman E, Ramchandani P, Banner M . Magnetic resonance imaging of the penis. Abdom Imaging. 2002; 27(6):640-59. DOI: 10.1007/s00261-001-0136-2. View

Scardino E, Villa G, Bonomo G, Matei D, Verweij F, Rocco B . Magnetic resonance imaging combined with artificial erection for local staging of penile cancer. Urology. 2004; 63(6):1158-62. DOI: 10.1016/j.urology.2004.01.008. View

Patel P, Masterson T, Ramasamy R . Penile duplex: clinical indications and application. Int J Impot Res. 2018; 31(4):298-299. DOI: 10.1038/s41443-018-0074-y. View

Shenoy-Bhangle A, Perez-Johnston R, Singh A . Penile imaging. Radiol Clin North Am. 2012; 50(6):1167-81. DOI: 10.1016/j.rcl.2012.08.009. View

10.

Linet O, Ogrinc F . Efficacy and safety of intracavernosal alprostadil in men with erectile dysfunction. The Alprostadil Study Group. N Engl J Med. 1996; 334(14):873-7. DOI: 10.1056/NEJM199604043341401. View

11.

Avery L, Scheinfeld M . Imaging of penile and scrotal emergencies. Radiographics. 2013; 33(3):721-40. DOI: 10.1148/rg.333125158. View

12.

Whitworth 3rd P, Ramchandani P, Dyer R . The "eggplant penis" sign. Abdom Radiol (NY). 2016; 42(1):332-333. DOI: 10.1007/s00261-016-0853-1. View

13.

Turkay R, Yenice M, Aksoy S, Seker G, Sahin S, Inci E . Contribution of MRI to clinically equivocal penile fracture cases. Ulus Travma Acil Cerrahi Derg. 2017; 22(6):549-552. DOI: 10.5505/tjtes.2016.50955. View

14.

Ory J, Bailly G . Management of penile fracture. Can Urol Assoc J. 2019; 13(6 Suppl4):S72-S74. PMC: 6565403. DOI: 10.5489/cuaj.5932. View

15.

Phillips E, Esposito A, Munarriz R . Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center. Andrology. 2015; 3(3):632-6. DOI: 10.1111/andr.12043. View

16.

Saglam E, Tarhan F, Hamarat M, Can U, Coskun A, Camur E . Efficacy of magnetic resonance imaging for diagnosis of penile fracture: A controlled study. Investig Clin Urol. 2017; 58(4):255-260. PMC: 5494349. DOI: 10.4111/icu.2017.58.4.255. View

17.

Ramchandani P, Buckler P . Imaging of genitourinary trauma. AJR Am J Roentgenol. 2009; 192(6):1514-23. DOI: 10.2214/AJR.09.2470. View

18.

Eke N . Fracture of the penis. Br J Surg. 2002; 89(5):555-65. DOI: 10.1046/j.1365-2168.2002.02075.x. View

19.

Reddy A, Dai M, Song J, Pierce H, Patel S, Lipshultz L . Peyronie's Disease: An Outcomes-Based Guide to Non-Surgical and Novel Treatment Modalities. Res Rep Urol. 2023; 15:55-67. PMC: 9901485. DOI: 10.2147/RRU.S278796. View

20.

Mitsui Y, Yamabe F, Hori S, Uetani M, Kobayashi H, Nagao K . Molecular Mechanisms and Risk Factors Related to the Pathogenesis of Peyronie's Disease. Int J Mol Sci. 2023; 24(12). PMC: 10299070. DOI: 10.3390/ijms241210133. View