[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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Autor principal:	Valerii Zaitsev
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/1a3566aeceeb40eab2fa074b94bb0a56
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spelling	oai:doaj.org-article:1a3566aeceeb40eab2fa074b94bb0a562021-12-02T10:12:19Z[79] Rare case of late post-traumatic total penis necrosis2090-598X10.1016/j.aju.2018.10.032https://doaj.org/article/1a3566aeceeb40eab2fa074b94bb0a562018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301268https://doaj.org/toc/2090-598XObjective: 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.Valerii ZaitsevTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S37- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Valerii Zaitsev [79] Rare case of late post-traumatic total penis necrosis
description	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.
format	article
author	Valerii Zaitsev
author_facet	Valerii Zaitsev
author_sort	Valerii Zaitsev
title	[79] Rare case of late post-traumatic total penis necrosis
title_short	[79] Rare case of late post-traumatic total penis necrosis
title_full	[79] Rare case of late post-traumatic total penis necrosis
title_fullStr	[79] Rare case of late post-traumatic total penis necrosis
title_full_unstemmed	[79] Rare case of late post-traumatic total penis necrosis
title_sort	[79] rare case of late post-traumatic total penis necrosis
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/1a3566aeceeb40eab2fa074b94bb0a56
work_keys_str_mv	AT valeriizaitsev 79rarecaseoflateposttraumatictotalpenisnecrosis
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[79] Rare case of late post-traumatic total penis necrosis

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