Penile Gangrene with Abscess Formation after Modified Al-Ghorab Shunt for Idiopathic Ischemic Priapism

Ford-Glanton, Beneranda S.; Patel, Parth; Siddiqui, Sameer

doi:10.1155/2014/705417

Cited by 8 publications

(10 citation statements)

References 10 publications

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“…In many other cases, the cause remains uncertain [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41].…”

Section: Discussionmentioning

confidence: 99%

“…Other cases presented with priapism by mimetic effect to ischemic priapism [6,21,26]. Few patients presented with purulent urethral discharge at the initial presentation [5,16,[22][23][24].…”

Section: Discussionmentioning

confidence: 99%

“…Poorly conducted penile fractures and procedures for the drainage or surgical treatment of priapism may favor this inoculation and, eventually, abscess formation [21][22]. The hematogenous path also seems to be associated, since there have been reports…”

Section: Discussionmentioning

confidence: 99%

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Integrative Review of Case Reports of Corpus Cavernosum Abscess

Paladino¹,

Simões²,

Hidaka³

et al. 2022

JCMSR

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Purpose: The aim of this report was to conduct a systematic review of corpus cavernosum abscess case reports documenting the etiological agents and outcomes following treatment. Materials and Methods: We searched the Medline, Embase, and Cochrane databases for English-language articles published until September 2021 and performed a systematic review according to the 2020 PRISMA protocol. The primary outcome was to determine the erectile dysfunction rate, and the secondary outcome was to report the presence or worsening of penile deviation following corpus cavernosum abscess management. Results: We found 376 reports and included 41 studies with 42 patients in the systematic review analysis. Thirteen cases (30.9%) reported a first episode or worsening of erectile dysfunction after hospital discharge; five cases (11.9%) developed or had an exacerbated penile deviation during the follow-up. Conclusions: It is not possible carry out a systematic review with the current literature. Further prospective studies evaluating the proportion of compromised tissue, standardized therapeutic measures, and adequate follow-up should be conducted to better elucidate proper care for these patients.

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“…In many other cases, the cause remains uncertain [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Integrative Review of Case Reports of Corpus Cavernosum Abscess

Paladino¹,

Simões²,

Hidaka³

et al. 2022

JCMSR

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“…Historically, prolonged ischemic priapism refractory to non-surgical treatments has been managed with penile shunting. These procedures are associated with high reoperation rates, poor erectile function recovery, and rare but severe complications [11–13]. Penile shunting surgical outcome studies are limited, old, descriptive (technique papers), with small number of patients, and have rarely used validated instruments to assess erectile function [14–17].…”

Section: Discussionmentioning

confidence: 99%

Current practice in the management of ischemic priapism: an anonymous survey of ISSM members

et al. 2019

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Penile shunting is the standard of care in management of ischemic priapism refractory (IPR) to non-surgical interventions. Due to high rates of impotence, corporal fibrosis, and loss of penile length, recent literature suggests these patients benefit from immediate penile prosthesis (PP) placement. An IRB-exempt anonymous electronic survey of the 2,168 members of the International Society for Sexual Medicine (ISSM) was conducted. The survey included demographic information, confidence and experience related management of IPR. The aim was to evaluate current practice patterns in management of IPR and to investigate the role of immediate PP implantation in the management of prolonged (>36-hours) IPR. The survey response rate was 11.6% (n=251). Most respondents were urologists (173), from the USA (49.1%), and had completed a fellowship in male sexual medicine, men’s health, reconstruction, or andrology (71.1%). The majority (91.3%) see at least one case of prolonged priapism (>36 hours) that requires surgical management yearly. When looking at volume in training and after, our respondents had a significantly higher experience with penile prostheses (over 70%, >=10) as compared to shunts (less than 40%, >=10). Overall, 70.9% of respondents felt more comfortable with a malleable PP than a shunt. However, penile shunts are still preferred as the first line of surgical management by nearly 80% of respondents as compared to 12.7% who instead prefer a PP. We also found that under 40% of respondents currently use penile MRI or corporal biopsies in their management of prolonged assessment. This is the first study to assess current clinical practices in management of IPR globally. As in any anonymous self-reported survey-based research, recall bias, sampling bias are an inherent limitation. Penile shunting for IPR continues to be the preferred treatment despite emerging data. Respondents performed PP surgery routinely and feel more confident placing PP than performing penile shunting procedures.

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“… 2 , 3 Severe corpus cavernosum infection and subsequent abscess formation after priapism shunting remains a rare complication with only a few previous case reports. 4 , 5 , 6 In our case report, we describe a case of bilateral severe necrotizing and abscess formation of penile corporal complicated with poly-microbial and fungal organisms and unfortunate development of glans penile gangrene necessitating partial penectomy.…”

Section: Introductionmentioning

confidence: 92%

Severe penile necrotizing infection with subsequent glandular gangrene after distal corporal aspiration and irrigation procedure for ischemic priapism

Fenton,

Gam,

Raheem

2024

Urology Case Reports

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Penile Gangrene with Abscess Formation after Modified Al-Ghorab Shunt for Idiopathic Ischemic Priapism

Cited by 8 publications

References 10 publications

Integrative Review of Case Reports of Corpus Cavernosum Abscess

Integrative Review of Case Reports of Corpus Cavernosum Abscess

Current practice in the management of ischemic priapism: an anonymous survey of ISSM members

Severe penile necrotizing infection with subsequent glandular gangrene after distal corporal aspiration and irrigation procedure for ischemic priapism

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