Internal Pudendal Artery Angioplasty to Rescue Penile Gangrene.

Shah, Pratik; Someshwar, Vimal; Mundada, Krishna; Waigankar, S.

doi:10.1055/s-0041-1732798

Cited by 1 publication

(1 citation statement)

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“…Shah and colleagues reported a known case of hypertension, diabetes, and chronic renal failure who underwent circumcision for phimosis and developed gangrene of the glans penis two weeks later. The patient underwent internal pudendal artery angioplasty and a partial penectomy [ 10 ]. Kim et al reported unexpected penile glans ischemic necrosis after internal pudendal arterial embolization in a patient with a post-traumatic internal pudendal artery-urethral fistula [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Extensive penile glans and corpus spongiosum necrosis due to catheter traction following laparoscopic radical cystoprostatectomy: a rare case report and literature review

Akyüz¹,

Kayar²,

Mohamed³

2023

BMC Urol

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Background Penile glans and corpus spongiosum necrosis is an extremely rare urologic condition associated with substantial morbidity. Case presentation We report a rare case presenting extensive penile glans and corpus spongiosum necrosis following catheter traction in a 71-year-old male patient who had a laparoscopic radical cystoprostatectomy for muscle-invasive bladder cancer. The patient has no preexisting diabetes mellitus or chronic renal failure. The case was successfully managed with penile preservation. During the procedure, it was observed that the necrosis was not limited to the glans. The necrosis had spread to the entire penile urethra and corpus spongiosum, and an excision of approximately 14 cm of corpus spongiosum was performed. Conclusion This is the first case presenting extensive length of penile glans and corpus spongiosum necrosis managed successfully with penile preservation, enabling reaching the best functional and esthetic results reported in the literature. Early detection and urgent imaging with a high index of suspicion ensure a favorable outcome. The main treatment steps are careful evaluation, appropriate therapy, and prompt intervention depending on the severity.

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Section: Discussionmentioning

confidence: 99%