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

Abstract

Ischemic penile gangrene is an uncommon urologic condition associated with significant morbidity. Etiology of the disease is due to vasculogenic ischemia of the penile tissue. Presented are a series of images from a case of a 51-year-old morbidly obese male truck driver with idiopathic ischemic penile gangrene. The patient was evaluated with penile angiography and treated with urinary diversion via suprapubic catheter placement and serial debridement of the necrotic tissue.

Internal Pudendal Artery Angioplasty to Rescue Penile Gangrene.

“…2 Diagnosis of the arterial occlusion causing penile gangrene is not well studied and relies mainly on patient history and physical examination; very few reports mention use of angiography for such purposes. 3 Angioplasty has been used successfully for the treatment of ischemic erectile dysfunction; however, the use to conserve gangrenous glans has limited information. 4 This case report mentions use of angiography to detect multifocal calcifications and atherosclerosis of right IPA in the patient with hypoplastic left IPA and is the first reported case of use of IPA angioplasty for penile conservation.…”

Novel treatment for glance necrosis due to priapism; presentation and review of literature

“…Necrosis of the glans and penis is rare and very frightening. In spite of rarity, it has many different causes, including penile injection of vasoconstrictors, 1 surgery, 1 tight compressive bandage for incontinence, 1 angio-embolization, 1 vasculitis, 2 thromboembolism 3 and trauma, 4 and priapism. There have been seven reports of glans or penile necrosis in priapism since 1980 5 –10 and there were 14 cases before 1980.…”