Campos-Salcedo JG, Terrazas-Rios JL, Sedano-Lozano A, Castro-Marin M, Flores-Terrazas JE, López-Silvestre JC, Zapata-Villalba Miguel A, Mendoza-Alvarez Luis A, Estrada-Carrasco Carlos E, Paredes-Calva C, Rosas-Hernandez H

Language: Spanish
References: 11
Page: 79-83
PDF size: 378.31 Kb.

ABSTRACT

Penile abscesses are a rare cause of infectious penile pathologies. Among the most important causes are immunosuppressed states, trauma, the administration of intracavernous medication, and adjacent site infection. The most commonly reported etiologic agent is Escherichia coli, although new bacterial and mycotic agents have recently arisen. Diagnosis requires complete evaluation with a high degree of suspicion.
The patient is a 58-year-old man with diabetes and ongoing high blood pressure who presented with onemonth progression of urinary storage symptoms and subjective fever. He was referred to the emergency room due to severe acute loss of metabolic control and urinary tract infection symptoms. A transurethral catheter was placed and removed after one week. The patient presented with a non-painful increase in penile diameter, augmented penile temperature, and important edema and temperature elevation in the corpora cavernosa that was painless upon palpation. The patient underwent transperineal open drainage of the corpora cavernosa, and the wound was washed and closed by secondary intention. The patient later underwent fifteen hyperbaric oxygen sessions at 2.6 atm.
Abscess of the corpora cavernosa is a rare clinical entity that mainly presents in patients with immunosuppression factors such as diabetes mellitus and with chronic infections. Diagnosis requires a high degree of suspicion, thorough physical examination, and diagnostic study support. The most useful is abdominopelvic computed axial tomography, which enables both diagnosis and opportune treatment.

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