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Department of Radiology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ
Correspondence: * Author for correspondence.
This excerpt was created in the absence of an abstract.
Injuries to the penis are rare (Gross et al, 1977). Most injuries involve acute rupture to the corpora cavernosa and one-third of these occur during sexual activity (Hudson, 1975). This injury is usually easy to diagnose from the classical history of forcible bending of the erect penis, causing the sudden onset of severe pain, swelling and detumescence. Physical examination reveals obvious bruising, oedema and sometimes deformity. Cavernosography has been used to visualize the site of laceration in the fibrous tunica albuginea around the erectile tissue (Grossman et al, 1982).
However, trauma to the penis may not present with the classical features of tunical disruption. We describe two cases in which injury led to chronic erectile dysfunction. Cavernosography was of value in the management of both patients.
A 26-year-old man presented with an 18-month history of a painful left testis and a sensation of numbness of the glans penis. He also described a failure to maintain erection of the distal part of the penis. These symptoms were related to a coital injury, the details of which were not forthcoming. However, there had been no acute episode of pain or swelling after the trauma. Physical examination was normal. A cavernosogram revealed normal corpora cavernosa but demonstrated a number of small veins communicating anteriorly with the glans (Fig. 1).
Received for publication January 1, 1988.
Revision received February 1, 1988.
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