Learning objectives
The objective of this study is to demonstrate the magnetic resonance (MR)imagingaspects of the mainmaleurogenitalemergencies.
Background
Diagnosingurogenitalemergenciesin men is very important because,
if not made in a timely manner,
serious consequences may occur.
These include,
but are not limited to,
erectile dysfunction,
infertility and severe infectious conditions.
Ultrasound is the initialimagingmethod but is limited in quantifying the tissue's injury extent.
Thus,MRimagingis becoming an increasingly widespread technique,
demonstrating greater efficiency in the characterization ofmaleurogenitallesions.
Appearance of normal penis and scrotum
Scrotum
Scrotal sac is made up of multiple layers,
including the skin,
Dartos muscle and fascial layers,
and the tunica vaginalis.
The...
Findings and procedure details
A retrospective analysis of theMRexams performed in the last 11 years in the emergency set of two large hospitalsin Rio de Janeiro.
TheseMRimagingstudies revealed cases of: penile bruising,
penile fractures,
thrombosis of the penile dorsal vein,
testicular hematoma,
orchiepididymitis,
testicular abscess and testicular torsion.
The mainimagingfindings and differential diagnoses of these conditions are presented and discussed,
along with its importance in the treatment orientation and the need for a surgical approach.
MR Imaging Protocols
To perform an adequate evaluation of the penis and scrotum,
the...
Conclusion
KnowingtheMRimagingaspects of the mainmaleurogenitalemergenciesis important for the radiologist to play its role in the diagnosis and treatment´s choice.
Personal information
T.
B.
Autran,
Departamento de Radiologia e Diagnóstico por Imagem,
Hospital Barra D'Or - Rede D'Or São Luiz,
Av.
Ayrton Senna,
3079 - Barra da Tijuca,
Rio de Janeiro - RJ,
Brazil,
22775-002,
Phone: (21) 2430-3928
B.
Tessarollo,
Departamento de Radiologia e Diagnóstico por Imagem,
Hospital Barra D'Or - Rede D'Or São Luiz,
Av.
Ayrton Senna,
3079 - Barra da Tijuca,
Rio de Janeiro - RJ,
Brazil,
22775-002,
Phone: (21) 2430-3928.
[email protected]
Instituto D’Or de Pesquisa e Ensino (IDOR)
Departamento de Radiologia e Diagnóstico por...
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