Penis

A free gallery of high-resolution, ultrasound, color doppler and 3D images
Home Fetus-general Early pregnancy Fetal-Brain Fetal-chest Fetal-abdomen Fetal-heart Fetal spine Fetal-face-and-neck Fetal-urogenital Placenta Umbilical-cord Amniotic-fluid Multifetal pregnancy Kidneys Urinary bladder Prostate GIT Liver Gall-bladder Spleen Adrenals Pancreas Salivary-glands Eyes Heart-CVS Chest Vascular Breast Ovaries Uterus Scrotum Thyroid Musculoskeletal Penis Amusing-pics Pediatric

 

Ultrasound images of diseases of the penis:

 

 Penile trauma:

1) Gun shot injury to the penis:

Ultrasound image of shot gun pellet in penis 

This ultrasound image shows a shotgun pellets lodged deep in the corpus cavernosum of the penis. The pellets are seen as a bright echogenic structures (arrowed). Image courtesy of Dr. Vikas Arora, India.

Your Ad Here

2)Insect bite injury to the penis:

edema of the penis following insect bite Transverse section of penis

  Longitudinal ultrasound image of the penis showing edema Longitudinal section of penis

The 2 sonographic images above reveal gross edema of the dorsal skin and subcutaneous tissue as well as the corpus cavernosum of the penis following insect bite. Ultrasound images courtesy of Dr. Ravi Kadasne, UAE.

  Your Ad Here

3)Penile hematoma: 

hematoma of the penis  Transverse section ultrasound image of the penis

Ultrasound image penile hematoma 

The above 3 ultrasound images reveal a hypoechoic collection lateral to the left corpus cavernosum of the penis following penile trauma. Color doppler image reveals a possible source of the hemorrhage. There is evidence of rupture of the lateral aspect of the tunica albuginea of the penis. Images reveal a transverse section of the affected part. Case and images courtesy of Mr. Shlomo Gobi, Israel.

 

Reference:

http://www.jultrasoundmed.org/cgi/content/full/24/7/993 (free article..Rated--- excellent)

 

4) Penile fracture:

hematoma around the penis      rupture of tunica albuginea

fracture of the penis  

The above ultrasound images reveal a hypoechoic collection (hematoma) with rupture of the tunica albuginea covering the left corpus cavernosum. Fracture of the penis is caused by trauma to an erect penis, resulting in rupture of the corpus cavernosum and the tunica albuginea covering it. Usually, the left corpus cavernosum is affected. Images courtesy of Dr. Ravi Kadasne, UAE.

Reference:

http://www.emedicine.com/med/topic3415.htm (free article).

 

5) Low flow Priapism:

dorsal artery of the penis     dorsal vein

power doppler shows no flow in corpus cavernosum     poor flow in cavernosal artery of penis

the dorsal vein of penis    transverse section of the penis

(CC= corpus cavernosum, CS= Corpus spongiosum, Dorsal V= dorsal vein of penis, Cav A= cavernosal artery)

This middle aged male patient presented with painful persistent erection (priapism) since 6 days. He did not have any history of trauma. Sonography, power doppler and color doppler imaging of the penis revealed poor flow or absent flow in the cavernosal artery of the penis with moderate flow in the dorsal artery and vein. There is also no flow within the corpora cavernosa of the penis. The ultrasound and color doppler images are diagnostic of low flow priapism. Images taken by Joe Antony, MD, India, using a Toshiba Nemio- XG ultrasound system.

Reference: 1)  http://www.medscape.com/viewarticle/550324_6 (good article- free images)

2)  http://www.clevelandclinic.org/health/health-info/docs/2900/2908.asp

 

6) Peyronie disease:

long section of the penis    multiple calcific plaques of the penis

Power Doppler image of Peyronie disease    Axial section of penis in Peyronie disease

transverse section ultrasound image Peyronie disease

This 47 yr. old male patient presented with a palpable nodule on the dorsum of the penis. Clinically, he did not have significant erectile dysfunction but Peyronie disease was suspected. Sonography of the penis was done and showed multiple (4 in number) calcific plaques of the dorsum of the penis, involving the tunica albuginea and also the septum between the corpora cavernosa. There was evidence of significant acoustic shadowing beyond the calcific plaques. The plaques varied in size from 4 mm. to 10 mm. The calcific plaques are shown by arrows in the ultrasound images above. These ultrasound images are diagnostic of Peyronie disease of the penis. Power Doppler imaging (see middle row -left), did not show any altered vascular flow in the penis. Ultrasound images taken using a Toshiba, Nemio-XG system by Joe Antony, M.D., India.

Reference: 1) http://drjoea.googlepages.com/penis

                    2) http://www.jultrasoundmed.org/cgi/reprint/28/2/217 (free article and images).

Case-2:  Peyronie disease:

calcfied plaque of penis   long plaque in penile tissue

transverse section color Doppler image of penis

This patient showed a long calcific plaque of the tunica albuginea of the penis. The transverse section image (color Doppler) showed normal vascularity, but the penile plaque is clearly seen with acoustic shadowing. This is a typical apperance of Peyronie disease. (PLAQ= plaque). Ultrasound images courtesy of Shlomo Gobi, Israel.

7) Penile AVM (arterio-venous malformation)/  AVM in the glans of penis:

Ultrasound and Doppler images of vascular malformation of the glans penis:

AVM of the glans penis    Color Doppler image of AVM of glans penis

Color Doppler image of glans penis AVM   Venous flow pattern in the AVM

Arterial waveform in the AVM   Color Doppler images showing multiple vessels in the glans

This male patient aged 50 yrs. presented with a bout of severe hemorrhage from the penile urethra during coitus for the past 2 days. Sonography and Color as well as Power Doppler imaging of the penis was done. Ultrasound/ Doppler flow images show marked vascularity along the glans of penis. Spectral Doppler waveforms show presence of both arterial and venous flow patterns in the vessels in and around the glans penis. These ultrasound, Power Doppler and Color Doppler images of the penis suggest arterio-venous malformation (AVM) in the glans penis. Trauma during coitus would have precipitated this episode of hemorrhage. The other differential diagnosis would be hemangioma of the glans penis.        (CORP SPONG= corpus spongiosum; CORP AV= corpus cavernosus; Dorsum= dorsal part of the penis). AVM and hemangioma of the glans penis are extremely and hardly any cases are reported in medical literature.

References:1) Hemangioma of glans penis (free article)

                     2) Vascular malformations (free article)

 

 

Your Ad Here

  This page was last edited on: Friday September 03, 2010 02:26 PM  

Copyright ©   2007- All rights reserved- www.ultrasound-images.com Dr. Joe Antony, MD, Cochin- 20, India.

Scan centre: ULTRASCAN CENTRE, AL-FIA Building, Opp. Reserve Bank of India, ERNAKULAM,

COCHIN (KOCHI)- 682018, KERALA.

Ph: (Off.) 91-484-2403058, (Residence) 91-484-2311416, (Cell) 91- 93886-23088

Contact: joe@ultrasound-images.com or drjoea (at) gmail.com