Fracture of the penis is a relatively uncommon form of urological trauma. Due to acute trauma to the erect penis, the tunica albuginea of one or both corpus cavernosum is disrupted. Purpose: To evaluate imaging results and determine the penile fracture site.

A retrospective study of 3 patients with radiologically confirmed penile fractures was treated in the Hospital of Lithuanian University of Health Sciences Kaunas Clinics between 2019 and 2022.

Acute penile pain, swelling, and audible clicking during sexual intercourse were the most common symptoms that affected all three patients with penile fractures. Magnetic Resonance Imaging (MRI) of the scrotum and penile was performed for all patients. The MRI revealed signal changes in the left corpus cavernosum for two patients, and one patient had a fracture of the right corpus cavernosum. There were 2 cases of ruptured tunica albuginea. Active contrast extravasation into the corpus cavernosum was visible in 2 cases. 2 patients underwent surgical treatment, and 1 had medication-assisted treatment. In all cases, patients had favorable recovery. On average, patients were hospitalized for three days.

It can be difficult for many urologists to make an appropriate diagnosis because each patient's physical and history findings may differ. Therefore, MRI is the most helpful imaging method for penile fractures since it has much better soft tissue imaging quality and can show tunical tears noninvasively.