Several studies, including this one, have demonstrated that ultrasound offers little more sensitivity than a coin toss in diagnosing penile fracture. 1 Agarwal M.M. Singh S.K. Sharma D.K. et al. Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol. 2009; 16: 4568-4575 PubMed Google Scholar While magnetic resonance (MR) is more sensitive, the benefit offered is relatively small when classic clinical signs are present. 2 Abolyosr A. Abdel Moneim A.E. Abdelatif A.M. Abdalla M.A. Imam H.M. The management of penile fracture based on clinical and magnetic resonance imaging findings. BJU Int. 2005; 96: 373-377 Crossref PubMed Scopus (45) Google Scholar , 3 Zaman Z.R. Kommu S.S. Watkin N.A. RE: The management of penile fracture based on clinical and magnetic resonance imaging findings. BJU Int. 2005; 96: 1423 Crossref PubMed Scopus (7) Google Scholar MR has been suggested to be of use in cases where the clinical signs are not diagnostic, 4 Fedel M. Venz S. Andreessen R. Sudhoff F. Loening S.A. The value of magnetic resonance imaging in the diagnosis of suspected penile fracture with atypical clinical findings. J Urol. 1996; 155: 1924-1927 Abstract Full Text Full Text PDF PubMed Scopus (101) Google Scholar although this manuscript demonstrates that even in these types of situations, MR was only accurate in three-fourths of cases. In addition, MR is often impractical and difficult to obtain in a timely fashion, therefore delaying operative exploration. False Penile Fracture: Value of Different Diagnostic Approaches and Long-term Outcome of Conservative and Surgical ManagementUrologyVol. 75Issue 6PreviewWe determined the value of clinical and radiological findings in diagnosis of false penile fracture. Also, the long-term outcome of conservative and surgical treatment of such patients was evaluated. Full-Text PDF ReplyUrologyVol. 75Issue 6PreviewWe agree that magnetic resonance imaging is expensive and impractical as a routine tool for diagnosis of suspected cases of penile fracture. We also agree that conservative treatment of fracture penis is now an exception rather than the rule. In our study, we stated clearly that it is difficult to distinguish false from true penile fracture with certainty either clinically or radiologically. Therefore, in suspected cases of penile fracture, surgical exploration remains the first line of management. Full-Text PDF