[79] Rare case of late post-traumatic total penis necrosis
Objective: To report on a rare case of late post-traumatic total penis necrosis. Total penis necrosis is a rare pathology because of the intensive blood supply of a penis from various sources. We only found 10 reported cases of such disease in the literature. Methods: We present a detailed review of...
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| Formato: | article |
| Lenguaje: | EN |
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Taylor & Francis Group
2018
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| Acceso en línea: | https://doaj.org/article/1a3566aeceeb40eab2fa074b94bb0a56 |
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| Sumario: | Objective: To report on a rare case of late post-traumatic total penis necrosis. Total penis necrosis is a rare pathology because of the intensive blood supply of a penis from various sources. We only found 10 reported cases of such disease in the literature. Methods: We present a detailed review of the medical records of patient with post-traumatic total penis necrosis. Results: A man aged 70 years was admitted to the urology department in a grave condition with complaints of intensive pain in the penis and scrotum, and with considerable oedema. The patient remembered some unremarkable trauma of the scrotum. The general condition of the patient had suddenly become much worse during preceding 24 h. On 07/02/2017 an urgent operation was performed: dissecting and drainage of the penis and scrotum phlegmon and necrectomy. During the operation normal arterial pulsation at the base of penis was detected. Active antibacterial and disintoxication therapy was prescribed. Despite this, gradual spreading of necrosis on surrounding tissues was registered with the appearance of a specific strong gangrenous smell. The right testicle increased in size and became painful. On 14/02/2017 a repeat operation was performed. Severe necrotic changes of the penis were found. The penis was dissected at its base and removed. The urethra was also dissected to the basis of penis and anastomosed to the created opening on skin of the perineum. A urethral catheter was placed and a typical cystostomy was performed. The right testicle had signs of necrosis and was explored. The condition of the patient improved considerably by the next day. After catheter removal urination was normal. Conclusion: The reasons for such an aggressive inflammatory process in this case remain unknown. This case once again testifies that at the signs of necrotising inflammation of external genital organs skin, only rapid and radical operative intervention can prevent spreading of the process to the surrounding organs regardless of the use of modern antibacterial therapy. |
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