MRI Penile scan (Penis scan) Patient information leaflet (265kB pdf)
Introduction
We hope this guide will answer your questions about an MRI scan of your penis. Please contact the team if you require further information via the details at the end of this leaflet.
What is a Penile MRI scan?
An MRI scan of your penis is used to investigate a possible lump, pain, abnormal
curvature of the penis or erectile dysfunction.
Magnetic Resonance Imaging (MRI) is a large tube that is open at both ends. It uses a strong magnetic field and radio waves to produce detailed pictures of the inside of your body. Using a computer, this information is then converted into a picture. MRI scanners use powerful magnetic fields and metal items can distort MRI images and may be a safety hazard if they become attracted to the magnetic field.
Why do I need a MRI scan?
You are having this examination as it will help your doctor to decide on the cause of your symptoms. This procedure will give clearer information to the clinicians treating you.
When shouldn’t you have a scan?
If you have a pacemaker or any other programmable implants in your body, we will not be able to scan you at this Trust. Please contact the MRI department if you have any implants, have recently ingested a pill camera, have jewellery or body piercings that you cannot remove, or have metallic foreign bodies inside you, such as shrapnel or bullets. Patients with fillings, crowns or dental implants can be scanned, but please contact the department if you have fixed braces on your teeth.
What are the associated risks?
MRI facilities have strict safety and screening procedures in place. At present, there is no conclusive evidence that exposure to the magnetic field of the MRI scanner poses any risk or side effects.
Will I need an injection?
An MRI sometimes requires an injection of a special dye (contrast media) into a vein in the arm or hand via a cannula, and it is eliminated from the body through the kidneys. This is administered to patients at the request of a radiologist (a specialist radiology doctor) to help enhance certain areas of your body. Occasionally this may cause an extravasation, which is a swelling around the injection site on the arm, where some of the contrast media has seeped into the tissues. Allergic reactions to contrast medium are possible, but rare, and can usually be treated immediately. Our radiology staff are trained to deal with these complications if they arise.
Preparing for your procedure
It is essential that you read through the safety questionnaire as soon as you receive it. This questionnaire does not need to be printed, but you must contact us if you answer yes to any of the questions. This will avoid any complications or delays in your treatment. If you are unable to complete the safety questionnaire or answer these questions, a next
of kin / guardian can complete this on your behalf if they have full knowledge of your
medical history. Please ensure the carer/ guardian attending with you to your appointment is also knowledgeable of your medical history as the Radiographers will need to confirm the answers to this safety questionnaire when you attend on the day. Please contact the booking team before your appointment if:
- this appointment is for a patient under the age of 6 months old to discuss instructions
- you weigh over 23 stone/146 kilograms so we can make sure you are booked for the most appropriate scanner
- you are or may be pregnant
- you plan on using hospital transport or need a hoist to transfer you require an interpreter – please inform us as soon as you receive your appointment letter, and we will arrange an interpreter for you.
You can eat and drink normally prior to your MRI scan.
Medication
Please continue to take all medications as usual prior to your MRI scan.
Getting to us
Please check which hospital your appointment is at. Below are the addresses for The Princess Alexandra Hospital in Harlow and St. Margaret’s Hospital in Epping.
- If you are attending The Princess Alexandra Hospital (Hamstel Road, Harlow, Essex, CM20 1QX), follow the signage to the radiology reception, which is located on the ground floor, in the green zone. Please let the receptionists know that you have arrived for your appointment.
- If you are attending St. Margaret’s Hospital (The Plain, Epping, Essex, CM16 6TN), follow the signage to the radiology reception, which is located by the blood test department. Please let the receptionists know that you have arrived for your appointment.
When should I arrive?
Please arrive in the radiology department at your given appointment time. A notification through text or letter should have been sent to you to confirm this appointment.
Can someone stay with me in the hospital?
You may have a friend or family member attend with you, but they will be asked to stay in the waiting area while you have your procedure.
Children are not allowed in the waiting area unattended. Our staff are not permitted to supervise children, so please ensure child care arrangements are in place to avoid your tests being rescheduled.
The day of your procedure
On the day of the procedure, the radiographer (the person who operates the MRI scanner) will explain the procedure to you and check through your safety questionnaire and answer any questions you may have. Before entering the scan room, you will be asked to remove any loose objects/items on you and to make sure your pockets are empty. This includes items such as watches, jewellery, all body piercings, hairpins, keys, coins, and mobile phones. You should also remove any wigs, metal dentures, and hearing aids you are wearing. You may be asked to change into metal-free clothing and put on a hospital gown. Secure lockers are provided for your clothes and valuables.
The procedure
To get the best images of your penis, you will require an injection to induce an erection using a very small needle into the base of the penis prior to the scan. This improves the quality of the images, making any structures easier to see. The radiologist will explain the procedure to you and then prepare you for the injection by cleaning your skin using a sterile wipe. The injection usually takes about 10-20 minutes to work at which point the MRI scan will be performed. Usually the injection will start to wear off after about one hour. This will coincide with the time you will be leaving the hospital after your scan. You may wish to consider some loose clothing to protect your dignity for leaving the hospital.
If your erection does not go down after 2 hours, or becomes painful, the
recommendation is to undertake strenuous exercise (such as walking up/down the
stairs), ejaculate or have a cold shower.
If this does not help, you should go immediately to your nearest Emergency Department (A&E), taking this information sheet with you. Tell them that you have recently had an Alprostadil injection.
Minor discomfort and bruising can occur at the injection site but there should be no long-term effects. An MRI scanner is a large tube which is open at both ends. You will be asked to lie down on the scanning table and the radiographers will try to make you as comfortable as possible. You must keep very still for the scan to avoid blurring the images. You will be given ear protection to wear during the scan, as MRI scanners make a series of loud noises. This noise is due to the small magnets in the machines being turned on and off. You will also be given a call button to hold during the scan. This button should only be pressed if you need to stop the scan. A ‘receiving device’ maybe placed around the part of the body being examined and the scanning table is then moved into the scanner. An MRI scan is painless and the exam typically takes 15 to 60 minutes. If contrast is required this will be administered by the radiographer during the scan.
After the procedure
If you have a cannula in your arm, this will be removed before you are discharged from the department, you are then able to continue with your normal activities.
Can I drive after my procedure?
You are able to drive as soon as you are discharged from the department.
How soon can I return to work?
You are able to return to work as soon as discharged from the department.
When will I get my results?
You will not know the results of your examination immediately. The radiologist will report their findings to the clinician who arranged your procedure, who will discuss the results with you. It usually takes a couple of weeks for the results to become available.
What is a recall and why may I need one?
A recall is when the radiologist has looked at your previous images from your scan and would like further images to aid diagnosis. We may therefore need to ask you to attend further appointment in the MRI department. Please do not be concerned, as radiologists cannot always be present to view and check the images at the time of your initial scan.
Contacting the team
If you have any further questions about your MRI scan or an existing appointment, please
contact the radiology department:
- (Monday to Friday, 9am to 4pm) at 01279 827179 and press option 1 for radiology appointments and then option 3 for MRI.
If you have any queries outside of working hours (after 4pm and on weekends), you will be redirected to the main radiology reception. Please note appointment bookings cannot be made during this time.
Your feedback matters
- If you would like to give feedback on your care, please contact our patient experience team at [email protected] or 01279 827211
- Please contact the communications team at [email protected] if you would like this leaflet in another language or format.