(101) Ultrasonography and Magnetic Resonance Imaging are Accurate for Suspected Penile Fracture

Abstract Introduction Penile fracture (PF) is a rare but potentially catastrophic injury due to the risk of erectile dysfunction (ED) and penile curvature in young, sexually active men. The diagnosis commonly made by clinical examination only may be inaccurate 15% Despite this, ultrasound (US) magnetic resonance imaging (MRI) remains poorly utilised. Objective This study aims correlate for first time suggestive PF with intraoperative findings as gold standard comparator order calculate sensitivity specificity accurately possible. Methods Retrospective analysis (electronic paper records) all men referred querying over ten years at single centre (January 2010 - December 2020). All suspected on US and/or MRI were included. Same day was performed equivocal cases or further define extent injury. Imaging correlated findings. Results 114 underwent surgical exploration 10 median age 39 (range 16-74). Pre-existing ED reported 9 6 pre-existing Peyronie’s disease. Most had pre-operative doppler (92.6%, n=112) subsequent 13 (11.6%). Two surgically explored after only. Table 1 summarises strong correlation between not identified 8 (7.1%). upgraded showed greater 76.5% (n=13). there false positive where found exploration. have been confounded plaque calcification. Urethral 24 intraoperatively 4 MRI. Conclusions has high PPV when compared excellent both urethral should considered cases. combination useful avoid unnecessary surgery can characterise complex/atypical injuries guide choice incision planning. routinely offered prior Disclosure No