Bello Journal of Medical Case Reports 2012, 6:321 http://www.jmedicalcasereports.com/content/6/1/321 unlike the sonourethrogram was associated with radi- ation exposure, was more invasive with risks of allergic reaction to contrast and gave no information about the tear in TA or associated hematoma. It was also six times the cost of the sonourethrogram and penile ultrasound put together. Early surgery for penile fracture has been advocated to prevent the significantly greater complications seen with delayed surgery [1-3]. Our patient had surgery three hours after his presentation to the emergency unit, incur- ring no delay to surgery from the radiological investiga- tions performed. Conclusions Evaluation of penile fracture by penile ultrasound and sonourethrography gives additional useful diagnostic in- formation to that obtained from clinical history and examination in patients with atypical presentations and or suspected associated urethral injury. The penile ultra- sound and sonourethrography can be performed easily, at relatively low cost and results in no delays to surgery. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Additional files Additional file 1: Retrograde urethrograph showing intact urethra. Additional file 2: Intra operative photograph showing tear in tunica albuginea of left corpus cavernosum. Additional file 3: Post operative photograph following the repair of penile fracture. Competing interests The author declares that there are no competing interests. Received: 6 May 2012 Accepted: 19 July 2012 Published: 25 September 2012 References 1. Jack GS, Garraway I, Reznichek R, Rajfer J: Current treatment options for penile fractures. Rev Urol 2004, 6:114–120. 2. Eke N: Fracture of the penis. Br J Surg 2002, 89:555–565. 3. Agarwal MM, Singh SK, Sharma DK, Ranjan P, Kumar S, Chandramohan V, Gupta N, Acharya NC, Bhalla V, Mavuduru R, Mandal AK: Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Can J Urol 2009, 16:4568–4575. 4. Mensah JE, Morton B, Kyei M: Early surgical repair of penile fractures. Ghana Med J 2010, 44:119–122. 5. Venyo A, Desai N: Traumatic rupture of corpus cavernosum (fracture of penis): diagnosis based upon ultrasonography - a case report. Webmed Central Urology 2010, 1:WMC001346. 6. Nomura JT, Sierzenski PR: Ultrasound diagnosis of penile fracture. J Emerg Med 2010, 38:362–365. 7. Mydlo JH, Hayyeri M, Macchia RJ: Urethrography and cavernosography imaging in a small series of penile fractures: a comparison with surgical findings. Urology 1998, 51:616–619. Page 4 of 4 8. Swain FR, Udeschi M, Armm MF, Gagliardi JA: Fracture of the penis: demonstration by MRI with surgical correlation. Radiol Case Rep 2007, 2:75. 9. Bhatt S, Kocakoc E, Rubens DJ, Seftel AD, Dogra VS: Sonographic evaluation of penile trauma. J Ultrasound Med 2005, 24:993–1000. 10. Berná-Mestre JD, Berná-Serna JD: Anterior urethral trauma: role of sonourethrography. Emerg Radiol 2009, 16:391–394. doi:10.1186/1752-1947-6-321 Cite this article as: Bello: Synergism of clinical evaluation and penile sonographic imaging in diagnosis of penile fracture: a case report. Journal of Medical Case Reports 2012 6:321. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit