Penile calcification in maintenance hemodialysis patients

Dalal, Sanjay; Gandhi, Vasant C.; Yu, Anna; Bhate, D.V.; Said, R.A.; Rahman, Manal Abdur; Ing, Todd S.

doi:10.1016/0090-4295(92)90455-6

Cited by 22 publications

(13 citation statements)

References 9 publications

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“…ED in patients with chronic renal failure can be the result of many factors, including atherosclerosis, secondary hyperparathyroidism, diabetes mellitus, and side effects of medication. Vascular calcification may be one of the causes of ED in this patient group (Dalal et al, 1992). For the general population, the reported incidence rates of penile plaque range from 0.39%-3.2% (Gelbard et al, 1990;Schwarzer et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…One group of authors reported a 79% incidence of soft-tissue calcification in the dialysis patients they studied (Kuzela et al, 1977). Calcification within the penis can occur in the soft tissue and/or in vessels and can lead to calciphylaxis or arterial insufficiency, respectively.In one investigation, 19% of the male hemodialysis patients studied showed calcification of the penile artery on plain x-rays (Dalal et al, 1992). However, the current literature contains no information on the incidence of calcification of penile tissues other than vascular structures in patients with end-stage renal disease (ESRD).…”

mentioning

confidence: 99%

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Calcification of the Epididymis and the Tunica Albuginea of the Corpora Cavernosa in Patients on Maintenance Hemodialysis

Güvel

Pourbagher

Torun

et al. 2004

Journal of Andrology

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The aims of this study were to determine the incidence rates of genital calcification in male hemodialysis patients based on ultrasonography findings and to identify risk factors for this condition. Twenty-three male end-stage renal disease (ESRD) patients (mean age, 51.4 +/- 12.1 years) who were on maintenance hemodialysis underwent penile and scrotal ultrasonography. For each case, we recorded the underlying renal disease and measured serum levels of phosphorus, intact parathormone, and calcium x phosphorus product. Patients were also questioned about erectile dysfunction. The control group consisted of 22 consecutive patients (mean age, 51 years) with type 2 diabetes mellitus with normal renal function who underwent penile and scrotal ultrasonography for various reasons. In the ESRD group, ultrasound revealed calcification of the tunica albuginea of the corpora cavernosa in 15 patients (65%) and calcification of the epididymis in 16 patients (70%; 14 bilateral and 2 unilateral cases). Twenty patients (87%) showed calcification of the epididymis and/or the tunica, and 10 (43%) showed calcification of both these tissues. The rates of epididymal and penile calcification in the ESRD patients and the controls were significantly different (P <.001 for both). There were no significant differences between patients with and without penile and epididymal calcification with respect to age, hemodialysis duration, frequencies of elevated serum phosphorus, elevated serum intact parathormone, elevated calcium x phosphorus product, and frequency of erectile dysfunction (ED) (P >.05 for all). Ultrasonography revealed high rates of penile (tunica albuginea of the corpora cavernosa) and epididymal calcification (65% and 70%, respectively) in the ESRD patients studied, but no association was found between risk factors such as age, underlying renal disease, hemodialysis duration, frequencies of elevated serum phosphorus, elevated serum intact parathormone, and elevated calcium x phosphorus product.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Calcification of the Epididymis and the Tunica Albuginea of the Corpora Cavernosa in Patients on Maintenance Hemodialysis

Güvel

Pourbagher

Torun

et al. 2004

Journal of Andrology

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“…4 Metastatic calcinosis of the penis has been observed in a series of patients with end-stage renal failure and secondary hyperparathyroidism. 5 In our case, no pre-existing lesion or predisposing cause of calcification could be identified. To our knowledge, similar clinical and histologic aspects have been observed in only 4 previous cases.…”

Section: Discussionmentioning

confidence: 80%

Idiopathic calcinosis cutis of the penis

Sánchez-Merino

Bouso-Montero

Fernández-Flores

et al. 2004

Journal of the American Academy of Dermatology

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“…Moreover, ultrasonography enabled us to visualize noncalcified plaques that were not visualized with radiography. Consequently, we find radiography to be an obsolete imaging modality in Peyronie's disease, as shown also on the grounds of radiation hygiene (4).…”

Section: Discussionmentioning

confidence: 99%