Abscess of Corpus Cavernosum

Abstract

A rare case of abscess of the corpus cavernosum is described. The patient was treated successfully by surgical drainage and antibiotic therapy. A right penile deviation and a relatively poor erection were reported by the patient 6 weeks postoperatively but he did not require further surgery. The possible causes, diagnosis and treatment of this rare disease are discussed.

Abscess of Corpus cavernosum

“…Infections have been reported following penile pros thesis placement, puncture of the corpus cavernosum for cavernosography or with patients using pharmacoinjections for treatment of impotence [8,9], Our patient had no history or trauma or any other con dition predisposing to infections mentioned above. He had never injected his corpora cavernosa for any purpose.…”

Cavernosal Abscess due to Streptococcus Anginosus : A Case Report and Comprehensive Review of the Literature

“…Similarly, Charles et al [14] described an abscess of the corpus cavernosum due to either fellatio or a periodontal abscess with associated S. constellatus bacteremia. Sater et al [13] also reported a case of cavernosal abscess with dental caries as the presumed source.…”

“…While most patients regain normal anatomical and erectile function following abscess drainage, many do experience penile deviation [16,20,21], erectile dysfunction [7,10,12,14,20], or abscess recurrence [6,10,13,18]. Shamloul et al [3] reported a case of cavernositis in which the patient presented within 36 hours of symptom onset, and abscess drainage resulted in no loss of erectile function.…”

“…While many corpus cavernosum abscesses have no identifiable trigger, cases have been reported in association with intracavernous injection therapy [1,2,3,4,5], foreign bodies [6], perianal [7] or perineal abscess drainage [8,9], intra-abdominal abscess extension [10], priapism [2,11], and even hematological seeding from periodontal abscesses [12,13,14]. Diabetic patients are at greater risk for penile abscesses, likely due to microvascular disease and relative immune system suppression.…”

Nichtabszedierende Entzündung des Corpus cavernosum bei einem Diabetiker – Eine Fallvorstellung

“…Inwieweit die häufigeren penilen Pilzinfektionen diabetischer Patienten hierfür ursächlich sind, bleibt derzeit ungeklärt. Häufig ist eine eindeutige ätiologi-sche Zuordnung der Kavernitis unmöglich [8]. Die in unserem Fallbericht normwertigen Entzündungsparame-ter sind jedoch für eine Kavernitis äußerst ungewöhnlich, selbst für die nicht fulminant verlaufenden Formen.…”