Open AccessMR Imaging of Nonmalignant Penile Lesions
Author(s) -
Alex Kirkham,
Rowland Illing,
Suks Minhas,
Clare Allen
Publication year - 2008
Publication title -
radiographics
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1527-1323
pISSN - 0271-5333
DOI - 10.1148/rg.283075100
Subject(s) - medicine , penile fracture , tunica albuginea (penis) , priapism , penile prosthesis , magnetic resonance imaging , erectile dysfunction , radiology , peyronie's disease , penis , surgery
Magnetic resonance (MR) imaging is potentially useful in the assessment of many benign penile diseases. When T1- and T2-weighted sequences are used, MR imaging can clearly delineate the tunica albuginea and can be used to diagnose penile fracture and Peyronie disease; in both conditions, MR imaging may help refine the surgical approach. It is also useful in cases of priapism; in these cases, intravenously administered contrast material can help assess the viability of the corpora cavernosa and the presence of penile fibrosis. In the assessment of a penile prosthesis, MR imaging provides excellent anatomic information and is the investigation of choice. In the evaluation of erectile dysfunction, MR imaging has limited value, and for urethral stricture, it has not yet proved adequately superior to other modalities to justify its routine use.