Utility of contrast enhanced ultrasound (CEUS) in penile trauma
Abstract Penile traumatic injuries are rare with potentially severe consequences, with clinical assessment challenging due to pain and swelling. Ultrasound is the primary imaging modality for assessing the penis. It has a high spatial resolution and rapid availability and is portable. Contrast enhan...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-09-01
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| Series: | Insights into Imaging |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13244-023-01499-2 |
| _version_ | 1827710620304146432 |
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| author | Miguel A. Gómez-Bermejo Dean Y. Huang Michele Bertolotto Paul S. Sidhu |
| author_facet | Miguel A. Gómez-Bermejo Dean Y. Huang Michele Bertolotto Paul S. Sidhu |
| author_sort | Miguel A. Gómez-Bermejo |
| collection | DOAJ |
| description | Abstract Penile traumatic injuries are rare with potentially severe consequences, with clinical assessment challenging due to pain and swelling. Ultrasound is the primary imaging modality for assessing the penis. It has a high spatial resolution and rapid availability and is portable. Contrast enhanced ultrasound is an advanced ultrasound technique that adds real-time dynamic vascular imaging safely, increasing diagnostic precision and confidence, allowing for better therapeutic management of traumatic penile injuries. Contrast enhanced ultrasound helps to delineate the extent of a haematoma, distinguishing this from the herniated corpus cavernosum, detecting the point of rupture of the tunica albuginea, showing vascular abnormalities, localising a dislocated penis and determining penile viability. The integrity of the urethra may be assessed with intracavitary contrast enhanced ultrasound. Additionally, contrast enhanced ultrasound allows monitoring of the response to endovascular and surgical treatment. This review aims to detail the anatomy and pathogenesis of penile trauma, to give guidance on optimising the contrast enhanced ultrasound technique and to obtain diagnostic examinations. Illustration of the spectrum of aspects of penile trauma will be complemented with a literature review. Critical relevance statement Contrast enhanced ultrasound is a safe and efficient imaging modality that allows for highly accurate diagnoses, helping achieve more successful and conservative treatments of penile trauma complications. Key points • Ultrasound is an accurate and safe imaging test for penile trauma. • CEUS adds dynamic vascular imaging in real-time increasing diagnostic confidence. • CEUS can delineate penile haematomas, locate fractures and demonstrate vessel integrity. • CEUS potentially allows for more conservative treatment of penile trauma complications. Graphical Abstract |
| first_indexed | 2024-03-10T17:42:31Z |
| format | Article |
| id | doaj.art-21ffd28d6a934d78a2f7b0d1746a8c22 |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-03-10T17:42:31Z |
| publishDate | 2023-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-21ffd28d6a934d78a2f7b0d1746a8c222023-11-20T09:38:58ZengSpringerOpenInsights into Imaging1869-41012023-09-0114111410.1186/s13244-023-01499-2Utility of contrast enhanced ultrasound (CEUS) in penile traumaMiguel A. Gómez-Bermejo0Dean Y. Huang1Michele Bertolotto2Paul S. Sidhu3Department of Radiology, Ramón y Cajal University HospitalDepartment of Imaging Sciences, School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, King’s College LondonDepartment of Radiology, Hospital of Cattinara, University of TriesteDepartment of Imaging Sciences, School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, King’s College LondonAbstract Penile traumatic injuries are rare with potentially severe consequences, with clinical assessment challenging due to pain and swelling. Ultrasound is the primary imaging modality for assessing the penis. It has a high spatial resolution and rapid availability and is portable. Contrast enhanced ultrasound is an advanced ultrasound technique that adds real-time dynamic vascular imaging safely, increasing diagnostic precision and confidence, allowing for better therapeutic management of traumatic penile injuries. Contrast enhanced ultrasound helps to delineate the extent of a haematoma, distinguishing this from the herniated corpus cavernosum, detecting the point of rupture of the tunica albuginea, showing vascular abnormalities, localising a dislocated penis and determining penile viability. The integrity of the urethra may be assessed with intracavitary contrast enhanced ultrasound. Additionally, contrast enhanced ultrasound allows monitoring of the response to endovascular and surgical treatment. This review aims to detail the anatomy and pathogenesis of penile trauma, to give guidance on optimising the contrast enhanced ultrasound technique and to obtain diagnostic examinations. Illustration of the spectrum of aspects of penile trauma will be complemented with a literature review. Critical relevance statement Contrast enhanced ultrasound is a safe and efficient imaging modality that allows for highly accurate diagnoses, helping achieve more successful and conservative treatments of penile trauma complications. Key points • Ultrasound is an accurate and safe imaging test for penile trauma. • CEUS adds dynamic vascular imaging in real-time increasing diagnostic confidence. • CEUS can delineate penile haematomas, locate fractures and demonstrate vessel integrity. • CEUS potentially allows for more conservative treatment of penile trauma complications. Graphical Abstracthttps://doi.org/10.1186/s13244-023-01499-2Contrast enhanced ultrasoundPenile traumaPenile fracturePenile haematoma |
| spellingShingle | Miguel A. Gómez-Bermejo Dean Y. Huang Michele Bertolotto Paul S. Sidhu Utility of contrast enhanced ultrasound (CEUS) in penile trauma Insights into Imaging Contrast enhanced ultrasound Penile trauma Penile fracture Penile haematoma |
| title | Utility of contrast enhanced ultrasound (CEUS) in penile trauma |
| title_full | Utility of contrast enhanced ultrasound (CEUS) in penile trauma |
| title_fullStr | Utility of contrast enhanced ultrasound (CEUS) in penile trauma |
| title_full_unstemmed | Utility of contrast enhanced ultrasound (CEUS) in penile trauma |
| title_short | Utility of contrast enhanced ultrasound (CEUS) in penile trauma |
| title_sort | utility of contrast enhanced ultrasound ceus in penile trauma |
| topic | Contrast enhanced ultrasound Penile trauma Penile fracture Penile haematoma |
| url | https://doi.org/10.1186/s13244-023-01499-2 |
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