2018, Number 6
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Rev Mex Urol 2018; 78 (6)
Necrosis of the glans penis after penile prosthesis implantation
De Bonis WO, Dangelo A, Medel R, Casabe A, Bechara AJ
Language: Spanish
References: 10
Page: 447-451
PDF size: 446.99 Kb.
ABSTRACT
Background: Necrosis of the glans penis after the placement of a penile prosthetic
implant is a very rare complication. The main complications are associated with infection
and mechanical failure of the implant.
Clinical case: Two cases of glans necrosis occurring after penile prosthesis implantation
are reported herein. One patient progressed satisfactorily with conservative treatment,
with no need for implant removal. The other progressed poorly, requiring extraction
of the prosthesis and debridement of the necrotic tissue. There was spontaneous amputation
of the glans penis.
Conclusions: Necrosis of the glans penis after penile prosthesis implantation is a rare
complication and can be associated with elevated morbidity and mortality. It tends to
affect patients with uncontrolled diabetes or pre-existing poor vascularization.
REFERENCES
Chiang IN, et al. Management of ischemic penile gangrene: prompt partial penectomy and other treatment options. J Sex Med 2008;5:2725-2733. DOI: 10.1111/j.1743- 6109.2008.00894.x
Harris CF, Mydlo JH. Ischemia and gangrene of the penis. J Urol 2003;169(5):1795. DOI: 10.1097/01. ju.0000057796.64080.3a
Wen CC, et al. Management of ischemic priapism with high-dose intracavernosal phenylephrine: From bench to bedside. J Sex Med 2006;3:918-22. DOI: 10.1111/j.1743- 6109.2005.00140.x
Shelling RH, Maxted WC. Major complications of silicone penile prosthesis Predisposing clinical situations. Urology 1980;15(2):131-3.
Kardar A, Pettersson BA. Penile gangrene: a complication of penile prosthesis. Scand J Urol Nephrol 1995;29:355-356.
Darwich B, et al. Gangrene of the penis after implantation of penile prosthesis: Case reports, treatment recommendations and review of the literature. J Urol 1993;150(1):190-192.
El-Sakka AI, et al. Coronary artery risk factors in patients with erectile dysfunction. J Urol 2004;172:251-4. DOI: 10.1097/01.ju.0000128572.31000.f0
Minervini A, et al. Outcome of penile prosthesis implantation for treating erectile dysfunction: experience with 504 procedures. BJU Int 2006;97(1):129-133. DOI: 10.1111/j.1464-410X.2005.05907.x
García-Gómez B, et al. Ischemic gangrene of the glans following penile prosthesis implantation. Case Rep Urol 2013;2013:323574. DOI: 10.1155/2013/323574
Weiner DM, Lowe FC. Surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis. J Urol1996;155:926-9.
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