Fig. 6

Penile fracture. Haematoma with herniation of corpora cavernosa. A 43-year-old man presented with blunt trauma to the penis during sexual intercourse. US examination reveals an interruption of the tunica albuginea (between arrowheads in a and b). Superficial to the tunica defect, there is a hypoechoic area (asterisk *), avascular on CEUS, consistent with haematoma. At the rupture site, there is enhancement suggestive of partial herniating adjacent corpora cavernosa. The point of the rupture of the tunica albuginea was marked on the patient’s skin. The intraoperative clinical image (c) demonstrates the point of rupture, which exemplifies the degree of minimal invasiveness achievable in surgery guided by US findings