Ischemic Gangrene of the Glans following Penile Prosthesis Implantation
The development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation o...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2013/323574 |
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| _version_ | 1832555947267981312 |
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| author | Borja García Gómez Javier Romero Otero Laura Díez Sicilia Estibaliz Jiménez Alcaide Eduardo García-Cruz Alfredo Rodríguez Antolín |
| author_facet | Borja García Gómez Javier Romero Otero Laura Díez Sicilia Estibaliz Jiménez Alcaide Eduardo García-Cruz Alfredo Rodríguez Antolín |
| author_sort | Borja García Gómez |
| collection | DOAJ |
| description | The development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation of a three-component prosthesis. We present a 53-year-old male, smoker with diabetes and hypercholesterolemia, who underwent surgery for the insertion of a penile prosthesis with 3 components to correct his erectile dysfunction and severe Peyronie's disease. The procedure was carried out without incidents. During the postoperative period, the patient began to complain from penile and perineal pain. He developed avascular necrosis of the glans. The necrosed area was excised. Four weeks later, he developed fever and perineal pain arriving to the emergency room with the prosthesis extruding through the glans. He had emergency surgery to remove the prosthesis plus surgical lavage and was prescribed broad-spectrum antibiotic therapy. Four weeks later, the penis was completely revascularized and reepithelialized. Ischemic gangrene following penile prosthesis implantation takes place in patients with poor peripheral vascularisation. Diabetes mellitus has been the common denominator to all of the reported cases. |
| format | Article |
| id | doaj-art-b417a8fe936345a5a9b89d71289f6c1c |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-b417a8fe936345a5a9b89d71289f6c1c2025-02-03T05:46:50ZengWileyCase Reports in Urology2090-696X2090-69782013-01-01201310.1155/2013/323574323574Ischemic Gangrene of the Glans following Penile Prosthesis ImplantationBorja García Gómez0Javier Romero Otero1Laura Díez Sicilia2Estibaliz Jiménez Alcaide3Eduardo García-Cruz4Alfredo Rodríguez Antolín5Urology Department, Hospital Universitario 12 Octubre, Avenida. De Córdoba s/n, 28041 Madrid, SpainUrology Department, Hospital Universitario 12 Octubre, Avenida. De Córdoba s/n, 28041 Madrid, SpainUrology Department, Hospital Universitario 12 Octubre, Avenida. De Córdoba s/n, 28041 Madrid, SpainUrology Department, Hospital Universitario 12 Octubre, Avenida. De Córdoba s/n, 28041 Madrid, SpainRed Española de Investigación en la Salud del Hombre (REISHO), 08037 Barcelona, SpainUrology Department, Hospital Universitario 12 Octubre, Avenida. De Córdoba s/n, 28041 Madrid, SpainThe development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation of a three-component prosthesis. We present a 53-year-old male, smoker with diabetes and hypercholesterolemia, who underwent surgery for the insertion of a penile prosthesis with 3 components to correct his erectile dysfunction and severe Peyronie's disease. The procedure was carried out without incidents. During the postoperative period, the patient began to complain from penile and perineal pain. He developed avascular necrosis of the glans. The necrosed area was excised. Four weeks later, he developed fever and perineal pain arriving to the emergency room with the prosthesis extruding through the glans. He had emergency surgery to remove the prosthesis plus surgical lavage and was prescribed broad-spectrum antibiotic therapy. Four weeks later, the penis was completely revascularized and reepithelialized. Ischemic gangrene following penile prosthesis implantation takes place in patients with poor peripheral vascularisation. Diabetes mellitus has been the common denominator to all of the reported cases.http://dx.doi.org/10.1155/2013/323574 |
| spellingShingle | Borja García Gómez Javier Romero Otero Laura Díez Sicilia Estibaliz Jiménez Alcaide Eduardo García-Cruz Alfredo Rodríguez Antolín Ischemic Gangrene of the Glans following Penile Prosthesis Implantation Case Reports in Urology |
| title | Ischemic Gangrene of the Glans following Penile Prosthesis Implantation |
| title_full | Ischemic Gangrene of the Glans following Penile Prosthesis Implantation |
| title_fullStr | Ischemic Gangrene of the Glans following Penile Prosthesis Implantation |
| title_full_unstemmed | Ischemic Gangrene of the Glans following Penile Prosthesis Implantation |
| title_short | Ischemic Gangrene of the Glans following Penile Prosthesis Implantation |
| title_sort | ischemic gangrene of the glans following penile prosthesis implantation |
| url | http://dx.doi.org/10.1155/2013/323574 |
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