Elective gangrene of the corpus spongiosum of idiopathic origin: A case report

Abstract

Cite as: Can Urol Assoc J 2014;8(11-12):e934-7. http://dx.doi.org/10.5489/cuaj.2316 Published online December 15, 2014. AbstractPenile gangrene is rare and associated with significant morbidity and mortality. It can be dry or wet. Treatment for dry gangrene is based on surgery, watchful waiting allowing spontaneous amputation of necrotic tissue or revascularization. It often depends on the general condition of the patient. We report a case of a 54-year-old patient with no significant medical history who presented with necrosis of the glans penis. Upon surgical exploration, we found an elective necrosis of the entire corpus spongiosum for which partial penectomy was performed. No etiology was found. To our knowledge, this is the first such case to be reported in the literature.

Extensive penile glans and corpus spongiosum necrosis due to catheter traction following laparoscopic radical cystoprostatectomy: a rare case report and literature review

“…The authors reported a poor prognosis with calciphylaxis-related necrosis. Kharbach and colleagues reported a 54-year-old patient with idiopathic necrosis of the glans penis managed with partial penectomy [ 9 ]. Agustino and Irdam reported a 30-year-old male with ischemic related to aortic dissection who presented with acute limb ischemia, necrosis of the penis, and scrotum gangrene managed with debridement of the penis and scrotum and urinary diversion with percutaneous cystostomy [ 3 ].…”

Occlusion of bilateral dorsal penile arteries resulting in glans necrosis in an obese male truck driver

“…Ischemic penile gangrene is a rare and understudied urologic condition associated with significant morbidity. The disease has been associated with diabetes mellitus, renal insufficiency, paraphimosis, priapism, tourniquet syndrome, venous outlet obstruction, and IV drug use [1] , [2] , [3] . Our knowledge of the condition remains limited, and it still occurs in patients without any clear cause.…”

“…The internal pudendal arteries further branch into the bulbourethral arteries, which supply the bulb and penile urethra, the dorsal penile arteries, which supply the glans, and the cavernosal arteries, which play an integral role in the process of tumescence and erection. This complex arterial network is important in maintaining the physiological function of the penis [2] .…”

A Case of Fournier's Gangrene of Penis leading to Complete Loss of Penile Urethra

“…On investigation, X-ray abdomen and pelvis showed impacted urethral calculus measuring 16 × 12 mm. Hemogram showed hemoglobin 11 gm/dL, platelet count 77,000/mm 3 , and total leukocyte count 8800/mm 3 . His other laboratory tests, such as renal function test, liver function test, and random blood sugar were within normal limits.…”

“…Fournier's gangrene of penis with involvement of corpus spongiosum leading to loss of penile urethra is an uncommon finding. 1,5,6 Resident, 2 Associate Professor, 3 Professor and Head 4 Lecturer 1-6 Department of Urology, MGM Medical College, Navi Mumbai Maharashtra, India Corresponding Author: Saket Sathe, Resident, Department of Urology, MGM Medical College, Navi Mumbai, Maharashtra India, Phone: +919665500090, e-mail: saketsathe123@yahoo. co.in…”