Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.

Background: Penile abscess and necrotizing fasciitis are very rare. Diabetes mellitus is the common risk factors. In our practice, this is the first reported case of penile necrotizing fasciitis after penile prosthesis insertion. Aim of the work: We intended to present our case of penile necrotizing...

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Autores principales:	Nabeel Kuwaijo, Mohammed Abo Elmagd, Ponnusamy Mohan
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	penile necrotizing fasciitis fournier's prosthesis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8148b59ce97a4dda923f586e084c2a8d
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spelling	oai:doaj.org-article:8148b59ce97a4dda923f586e084c2a8d2021-12-02T10:38:27ZPenile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.2636-41742682-378010.21608/ijma.2020.27023.1115https://doaj.org/article/8148b59ce97a4dda923f586e084c2a8d2020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_86883_f37251b6214eb050fc9cf69ea85c7e21.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Penile abscess and necrotizing fasciitis are very rare. Diabetes mellitus is the common risk factors. In our practice, this is the first reported case of penile necrotizing fasciitis after penile prosthesis insertion. Aim of the work: We intended to present our case of penile necrotizing fasciitis treated conservatively. A written consent has been signed by the patient to release information for this study.Case description: Our patient is a 52 years old male, who had a history of painless skin loss of the penis (ventral aspect of the lower parts of the shaft) for 7 days. The skin necrosis started 21 days after implantation of penile prosthesis. He had controlled type-2 diabetes mellitus. No specific signs were detected by general examination. There was discrete tenderness on penile wound; which was 2.5*4.2 cm of skin loss, with white patches, purulent discharge, elevated edges and erythema. The management consisted of use of antibiotics (oral combination of amoxicillin-clavulanic acid and local fusidic acid) with 0.9% normal saline washout on regular intervals. There was excellent wound healing with minimal tissue loss. Conclusion: Our case report revealed that, the serious complication of necrotizing fasciitis may occur after implantation of penile prosthesis. Surgical intervention was not indicated and conservative medical treatment was successful.Nabeel KuwaijoMohammed Abo ElmagdPonnusamy MohanAl-Azhar University, Faculty of Medicine (Damietta)articlepenilenecrotizingfasciitisfournier'sprosthesisMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 483-486 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	penile necrotizing fasciitis fournier's prosthesis Medicine (General) R5-920
spellingShingle	penile necrotizing fasciitis fournier's prosthesis Medicine (General) R5-920 Nabeel Kuwaijo Mohammed Abo Elmagd Ponnusamy Mohan Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.
description	Background: Penile abscess and necrotizing fasciitis are very rare. Diabetes mellitus is the common risk factors. In our practice, this is the first reported case of penile necrotizing fasciitis after penile prosthesis insertion. Aim of the work: We intended to present our case of penile necrotizing fasciitis treated conservatively. A written consent has been signed by the patient to release information for this study.Case description: Our patient is a 52 years old male, who had a history of painless skin loss of the penis (ventral aspect of the lower parts of the shaft) for 7 days. The skin necrosis started 21 days after implantation of penile prosthesis. He had controlled type-2 diabetes mellitus. No specific signs were detected by general examination. There was discrete tenderness on penile wound; which was 2.5*4.2 cm of skin loss, with white patches, purulent discharge, elevated edges and erythema. The management consisted of use of antibiotics (oral combination of amoxicillin-clavulanic acid and local fusidic acid) with 0.9% normal saline washout on regular intervals. There was excellent wound healing with minimal tissue loss. Conclusion: Our case report revealed that, the serious complication of necrotizing fasciitis may occur after implantation of penile prosthesis. Surgical intervention was not indicated and conservative medical treatment was successful.
format	article
author	Nabeel Kuwaijo Mohammed Abo Elmagd Ponnusamy Mohan
author_facet	Nabeel Kuwaijo Mohammed Abo Elmagd Ponnusamy Mohan
author_sort	Nabeel Kuwaijo
title	Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.
title_short	Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.
title_full	Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.
title_fullStr	Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.
title_full_unstemmed	Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.
title_sort	penile necrotizing fasciitis (fournier's gangrene) after penile prosthesis implant in diabetic patient treated conservatively – a case report.
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/8148b59ce97a4dda923f586e084c2a8d
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Penile Necrotizing Fasciitis (Fournier's Gangrene) after Penile Prosthesis Implant in diabetic patient treated conservatively – A case report.

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