Montoya MG, Otero GJM, López SV, Santibáñez FJJ, González MJ, Serrano BE

Language: Spanish
References: 14
Page: 10-14
PDF size: 89.90 Kb.

ABSTRACT

Objective: To present our experience in the management of penile necrosis in our institution. Methods: We retrospectively reviewed clinical files of patients with penile necrosis diagnosis in urology service of the Hospital de Especialidades del Centro Médico Nacional Siglo XXI from January 1995 to August 2004. Results: Fourteen patients with penile necrosis were found. The average age was 59.7 years. (With ages between 28 to 78 years old). The most important medical conditions associated with this diagnosis were diabetes mellitus and end-stage chronic renal failure. The reasons for seeking medical advise were the development of penile scars in five patients, balanoposthitis with purulent discharge in three cases, ischemic priapism in two, urethral purulent discharge, external penile compression, periurethral abscess and Fournier’s gangrene. Of the 14 cases, 9 required partial or total penectomy, nevertheless 3 died. The other 5 patients were treated conservatively, four survived. The pathology findings were arterial and venous thrombosis, ischemic necrosis and dystrophic vascular calcification in 7 cases. In 2 specimens only thrombosis and necrosis were found. Conclusions: The most common presentation of penile necrosis is the development of scars, mummification and over-infection. The thrombo-oclusive changes that occur in a diabetes mellitus or chronic renal failure scenario are the main trigger of this entity. The features clinics is scars, mummification, autoamputation and overinfection, an early diagnosis and treatment is determining in the evolution.

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