Focal Inflammation of the Corpus Cavernosum in a Diabetic Man Due to Acute Occlusion of the Cavernous Artery

Seftel, Allen D.; Becker, Maier; Aron, David C.; Resnick, Martin I.

doi:10.1097/00005392-199505000-00077

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Some people have accessory pudendal arteries from the external iliac or obturator arteries providing extra penile supplies [7]. Although penile gangrene is rarely encountered possibly because of the rich collateral circulation network of the penis, there is another theory that the end‐organ vasculature of the penile cavernous tree resembles coronary arteries and the vasculature of lower extremities, which are susceptible to arterial insufficiency caused by a systemic vasculopathic state [8,9]. According to the literature, risk factors of penile gangrene include diabetes mellitus, chronic renal insufficiency, thrombotic phenomenon, coagulopathy, operation embolism, ligation of penile circulation, peripheral vascular disease, and Kaposi's sarcoma [1,4,6,10,11].…”

Section: Discussionmentioning

confidence: 99%

Management of Ischemic Penile Gangrene: Prompt Partial Penectomy and Other Treatment Options

Chiang¹,

Chang²,

Kuo³

et al. 2008

The Journal of Sexual Medicine

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Introduction Penile gangrene is a rare but troublesome problem with high mortality rates. The etiologies could be infectious, traumatic, or vasculogenic. The treatment algorithm is controversial because of limited case numbers. Aim To describe our experiences in treating the patients with ischemic penile gangrene, to review the related literatures, and to try to summarize a practical algorithm for penile gangrene. Methods We retrospectively reviewed the medical records of five patients with penile gangrene treated between 1996 and 2006. Data obtained include the patients’ ages initial presentation, detailed histories, comorbidity, renal status, other vascular diseases, coagulation profile, treatment course, histology presentations, and prognosis were obtained. Main Outcome Measures Comparison of the patients’ ages, presentations, underlying diseases, the duration of conservative treatments, surgical options, resected penile length, and prognosis. Results All of the five patients underwent partial penectomy. One patient underwent immediate surgery while the other four had delayed partial penectomy because of progressive distal penile gangrenous change. There was no postoperative wound infection noted in any of the five patients and all had survived after 1 year follow-up. Three of them could void independently with a neourethra meatus. Two of them kept suprapubic cystostomy as a result of bladder outlet obstruction caused by an enlarged prostate and bed-ridden status. Conclusions Penile dry gangrene is an irreversible process. Early partial penectomy and correction of the underlying disease can prevent wound liquefaction, preserve more penile length, and improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Management of Ischemic Penile Gangrene: Prompt Partial Penectomy and Other Treatment Options

Chiang¹,

Chang²,

Kuo³

et al. 2008

The Journal of Sexual Medicine

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“…In einem Fallbericht wurde eine Kavernitis mit einem vorausgegangenen periodontalen Abszess in Verbindung gebracht [7]. Als ein weiterer Auslöser der Kavernitis wurde ein akuter Gefäßverschluss der Penisarterie beschrieben [11]. Ein prädisponierender Faktor für eine Kavernitis stellt ein vorbestehender Diabetes mellitus dar [11].…”

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“…Als ein weiterer Auslöser der Kavernitis wurde ein akuter Gefäßverschluss der Penisarterie beschrieben [11]. Ein prädisponierender Faktor für eine Kavernitis stellt ein vorbestehender Diabetes mellitus dar [11]. Inwieweit die häufigeren penilen Pilzinfektionen diabetischer Patienten hierfür ursächlich sind, bleibt derzeit ungeklärt.…”

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Nichtabszedierende Entzündung des Corpus cavernosum bei einem Diabetiker – Eine Fallvorstellung

et al. 2010

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An inflammation of the corpus cavernosum is relatively rare and must be differentiated from a tumour, abscess, thrombosis or embolism of the penile vessels. Most frequently inflammation of the corpus cavernosum is caused by iatrogenic interventions, followed by general infections and acute occlusion of penile vessels. Diabetes mellitus seems to be a predisposing factor. In the case of a 51-year-old diabetic patient with painful induration of the penis, an MR imaging study was undertaken to identify an inflammation of the corpora by exclusion of abscess formation. The inflammation responded well to a two-week oral Fluorchinolon treatment. Due to its high soft-tissue contrast, multiplanar layer images and, the MR scan was performed to identify an inflammation of the corpora cavernosa and to exclude an abscess formation. We consider a therapy with oral antibiotics to be sufficient for a non-abscess-forming cavernitis.

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Focal Inflammation of the Corpus Cavernosum in a Diabetic Man Due to Acute Occlusion of the Cavernous Artery

Cited by 2 publications

References 12 publications

Management of Ischemic Penile Gangrene: Prompt Partial Penectomy and Other Treatment Options

Management of Ischemic Penile Gangrene: Prompt Partial Penectomy and Other Treatment Options

Nichtabszedierende Entzündung des Corpus cavernosum bei einem Diabetiker – Eine Fallvorstellung

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