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F1000Research 2019: Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We...
: Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriopathy treated with partial amputation. : A 53-year-old male with a background of arterial hypertension, diabetes mellitus and CKD in hemodialysis. The patient presented with paraphimosis and glans necrosis. An emergency circumcision was carried out. A doppler ultrasound found fluid collection in the left corpus cavernosum, parietal vascular calcifications and vascular insufficiency in the corpus cavernosum that suggested necrosis. A partial amputation of the penis was carried out. After three years of follow-up, the outcome has remained favorable. : Penile necrosis is a rare but serious complication of terminal CKD. In these patients, systemic calciphylaxis is usually observed. The main take-away lesson is that a multidisciplinary approach is necessary.
Topics: Calciphylaxis; Humans; Kidney Failure, Chronic; Male; Middle Aged; Necrosis; Paraphimosis; Penile Diseases; Renal Dialysis
PubMed: 31448110
DOI: 10.12688/f1000research.18834.1 -
Urology Case Reports Sep 2019Paraphimosis is usually acute painful condition. Delay in medical attention might result in dreaded complications like gangrene and auto-amputation. Very rarely patient...
Paraphimosis is usually acute painful condition. Delay in medical attention might result in dreaded complications like gangrene and auto-amputation. Very rarely patient might present late with large painless paraphimosis as in our case just because it interrupts intromission despite satisfactory painless erection.
PubMed: 31367524
DOI: 10.1016/j.eucr.2019.100967