Fig. 12

Traumatic dislocation of the penis. A 26-year-old male patient, riding a moped, who suffered polytrauma following a collision with a motor vehicle. Injuries included a fracture of the left superior and inferior pubic rami, left acetabulum and pubic symphysis diastasis, as illustrated in the 3D surface reconstruction (a). In addition, the patient was clinically diagnosed with traumatic penile amputation, with only a remnant of skin remaining. The initial CT examination did not observe the intact penis which was dislocated and ‘buried’ in the soft tissues of the groin area (arrow in (b)), towards the right inguinal canal. Following a 1-week intensive care admission, the patient reported a pubic lump with intermittent hardening. An US examination was performed, demonstrating on B-mode (c) the presence of the penis under the skin (thin arrow). On CEUS, there was preserved vascularisation in both the shaft (arrow) (d) and the glans penis (asterisk *) (e), indicating viability. The patient successfully underwent surgery and was able to regain a fully functional erectile response