Penile Sonography

Penile Blood Supply

Internal Pudendal Artery

Superficial & Deep Dorsal Vein

Normal Penile Ultrasound

Protocol for Penile Ultrasound

Scan penis from ventral plane (underside)

Hypospadias

Epispadias

Phleboliths in the corpus cavernosum

Vein calcifications

Penile Fracture/Rupture

Tear in tunica albuginea (mid or proximal)

Herniation of cavernosal tissue

May involve urethra

CEUS in Penile Hematomas

Urethral Strictures

Scarring from swelling, injury, or infection that blocks/slows urine flow

Priapism

Prolonged, painful erection

Blood remains and cannot drain

Peyronie Disease

Fibrous scar tissue formation within penile tissue that results in

painful curvature of the penis with erection

"Plaques" can be felt under skin (flat lumps, bands of hard tissue)

Penile Cancers

Rare in USA

Most commonly start in foreskin/head of penis

Mot common is squamous cell carcinoma