Penile Necrosis: an Unexpected Complication Following Transurethral Resection of the Prostate

Background Penile glans and corpus spongiosum necrosis is an extremely rare urologic condition associated with substantial morbidity. Case presentation We report a rare case presenting extensive penile glans and corpus spongiosum necrosis following catheter traction in a 71-year-old male patient who had a laparoscopic radical cystoprostatectomy for muscle-invasive bladder cancer. The patient has no preexisting diabetes mellitus or chronic renal failure. The case was successfully managed with penile preservation. During the procedure, it was observed that the necrosis was not limited to the glans. The necrosis had spread to the entire penile urethra and corpus spongiosum, and an excision of approximately 14 cm of corpus spongiosum was performed. Conclusion This is the first case presenting extensive length of penile glans and corpus spongiosum necrosis managed successfully with penile preservation, enabling reaching the best functional and esthetic results reported in the literature. Early detection and urgent imaging with a high index of suspicion ensure a favorable outcome. The main treatment steps are careful evaluation, appropriate therapy, and prompt intervention depending on the severity.

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Penile Necrosis: an Unexpected Complication Following Transurethral Resection of the Prostate

Abstract: A 69-year-old man who had undergone a transurethral resection of the prostate for benign prostatic hyperplasia developed necrosis of the glans penis following traction of the urethral catheter

Cited by 2 publications

References 2 publications

Penile Gangrene and Urethrocutaneous Fistula Following Transurethral Resection of Prostatic Carcinoma. A Case Report

Penile Gangrene and Urethrocutaneous Fistula Following Transurethral Resection of Prostatic Carcinoma. A Case Report

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

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