Background
Radiologists can play a key role in evaluating and diagnosing the broad range of pathologies which affect the penis. Ultrasound is routinely used due to its wide availability and ability to evaluate the majority of penile structures, including color Doppler flow. MR can be used for further delineation with better soft tissue resolution.
Educational Goals / Teaching Points
Learners will first review the normal structural and vascular anatomy to provide a foundation for the wide array of pathologies that can affect the penis. Various findings will be presented in a case-based format utilizing ultrasound, CT and MRI images to allow learners to gain a thorough understanding about common penile diagnoses, which include traumatic, neoplastic, infectious, vascular, and procedure-related etiologies. For each case, we will expand on the imaging findings and offer pearls and pitfalls to assist in clinching the diagnosis while ruling out common differential causes.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Clinical history, imaging technique and important findings on US, CT, and MRI will be presented in a case based format to include trauma, venous thrombosis, pseudoaneurysm/AV fistula, Peyronie’s disease, and penile and urethral cancer.
Conclusion
A systematic approach to the penis and understanding of proper imaging technique is critical to accurately diagnose penile conditions. Early recognition of specific diagnoses assists surgical colleagues in appropriately treating emergent cases and pursuing conservative management when appropriate.
