HP-06-001 The role of magnetic resonance imaging for the diagnosis of penile fracture in real life emergency settings: Comparative analysis with intraoperative findings

Abstract

To evaluate the role of magnetic resonance imaging (MRI) of the penis in the diagnosis of penile fracture, including the assessment of the urethra, in real life emergency settings in comparison with intraoperative findings. From a total of 43 patients presented with suspicion of penile fracture between January 2006 and December 2016, MRI was performed on 28 patients prior to surgical treatment in real-life emergency settings. Surgery was performed on all patients through subcoronal circumferential degloving approach, based on clinical judgement, irrespectively from MRI findings. The interpretation of MRI was performed by the on-duty radiologist in real-life emergency settings and was compared with the intraoperative findings. Sensitivity, specificity, positive and negative predictive value (PPV/NPV), as well as the likelihood ratio for positive and negative results (LR+/LR-) were calculated for the agreement between MRI and intraoperative findings. The confidence intervals (CI) were set at 95%, for Type I error of 5%.