{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:07:54Z","timestamp":1771286874707,"version":"3.50.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die \u201ePenisfraktur\u201c stellt einen seltenen urologischen Notfall dar. Laut Literatur ist die klinische Diagnose bei anamnestisch typischem Unfallhergang und klinischem Bild ausreichend. An bildgebender Diagnostik eignen sich Sonografie, Kavernosografie oder MRT. Die Sonografie ist schnell anzuwenden, g\u00fcnstig und fl\u00e4chendeckender verf\u00fcgbar, als eine MRT-Untersuchung, die jedoch eine h\u00f6here Aufl\u00f6sung hat. Die Therapieempfehlung der aktuellen Literatur ist die schnellstm\u00f6gliche operative Versorgung.<\/jats:p>\n                  <jats:p>In dieser retrospektiven monozentrischen Kohortenstudie wurden alle Patienten ausgewertet, die sich mit Verdacht auf eine Penisfraktur zwischen dem 01.01.2018 und dem 30.09.2024 in der Abteilung f\u00fcr Urologie am Campus L\u00fcbeck des Universit\u00e4tsklinikums Schleswig-Holstein vorgestellt haben.<\/jats:p>\n                  <jats:p>Insgesamt wurden 16 Patienten ausgewertet. 8 Patienten stellten sich noch am gleichen\n        Tag des Traumas vor.<\/jats:p>\n                  <jats:p>MRT-morphologisch konnte bei 13 von 16 Patienten eine Ruptur der Corpora cavernosa best\u00e4tigt werden. Bei 3 Patienten best\u00e4tigte sich der Verdacht nicht. Bei 11 Patienten korrelierten sonografischer und MRT-morphologischer Befund, bei 2 Patienten war die Sonografie falsch-negativ und bei 2 falsch-positiv. Bei einem Patienten waren sowohl Sonografie als auch MRT nicht eindeutig.<\/jats:p>\n                  <jats:p>Klinisch zeigte sich bei ca. 23% der nachgewiesenen Frakturen eine Deviation des Penis, bei 92% zeigte sich ein H\u00e4matom und etwa 23% der Patienten mit einer Ruptur berichteten ein \u201eknallendes Ger\u00e4usch\u201c geh\u00f6rt zu haben.<\/jats:p>\n                  <jats:p>Die Diagnosestellung ist sowohl klinisch, sonografisch als auch MRT-morphologisch m\u00f6glich. Zur ersten Einsch\u00e4tzung, ob eine Kontinuit\u00e4tsunterbrechung der Tunica albuginea vorliegt, ist die Sonografie geeignet. Beim ge\u00fcbten Anwender kann diese auch ausreichen. Bei seltenem Krankheitsbild mit anwenderabh\u00e4ngiger individueller sonografischer Expertise stellt das MRT eine sensitivere Bildgebung dar, die Differenzialdiagnosen ausschlie\u00dfen und Defekte lokalisieren kann.<\/jats:p>\n                  <jats:p>Zusammenfassend ist ein MRT laut Literatur f\u00fcr die Therapieplanung hilfreich, aber nicht notwendig zur operativen Versorgung. Mit einer Korrelation von Sonografie und MRT in 69% der von uns untersuchten F\u00e4lle, stellt die Sonografie ein ausreichendes Diagnostikum zur Indikationsstellung einer Operation dar. Basierend auf unseren Daten bewerten wir eine positive Sonografie als ausreichend zur Einleitung der weiteren Therapie. Bei negativer Sonografie und klinisch bestehendem Verdacht w\u00fcrden wir jedoch, basierend auf unserer Auswertung, die MRT-Durchf\u00fchrung empfehlen.<\/jats:p>","DOI":"10.1055\/a-2606-4501","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T20:04:29Z","timestamp":1748462669000},"page":"102-107","source":"Crossref","is-referenced-by-count":1,"title":["Vergleich von diagnostischer Sicherheit durch Sonografie und MRT-Bildgebung bei Penisfraktur \u2013 eine retrospektive Datenanalyse"],"prefix":"10.1055","volume":"57","author":[{"given":"Svenja K.","family":"Morische","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"F\u00fcrschke","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Radiologie, Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniar","family":"Osmonov","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel S.","family":"Merseburger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Universit\u00e4tsklinikum Schleswig-Holstein, Campus L\u00fcbeck, L\u00fcbeck, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Brozat-Essen","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Urologie, 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