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Organo Oficial de la Sociedad Mexicana de Urología

2025, Number 4

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Rev Mex Urol 2025; 85 (4)

An unusual complication of prostatic arterial embolization: penile glans necrosis

Serret TC, Donis CF, García JC, Bermúdez RJ, Ziani AH, Sánchez-Pedreño M, García Ron A, Pereira Rodríguez N, Téllez Martínez-Fornés M

Language: English
References: 14
Page: 1-8
PDF size: 285.20 Kb.


ABSTRACT

Clinical case description: the case of an 84-year-old male is presented, who developed penile glans necrosis over several days following prostatic arterial embolization. Due to the progression of the condition, a partial penectomy had to be performed for resolution.
Relevance: prostatic arterial embolization represents an effective approach for benign prostatic hyperplasia, although it is not without risks. As embolization of non-target areas is a very unusual but serious complication, there is a need of knowing and describing this kind of results.
Clinical implications: despite the unusual nature of penile glans necrosis, early recognition and diagnosis is crucial to prevent the worse outcomes. There are several clinical treatments before a surgical option that includes hyperbaric oxygen therapy or phosphodiesterase 5 inhibitors wich have a short opportunity window.
Conclusion: gland necrosis is a rare but serious condition that requires intensive and constant management to try to achieve its reversal. Ultimately, its treatment consists of partial or total penectomy.


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