Long‐term follow‐up of penile glans necrosis due to paraphimosis

Autor: Yoshikazu Sato, Seiji Takagi, Kosuke Uchida, Masaki Shima, Musashi Tobe, Kazunori Haga, Ichiya Honama, Megumi Hirobe
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: IJU Case Reports, Vol 2, Iss 4, Pp 171-173 (2019)
Druh dokumentu: article
ISSN: 2577-171X
DOI: 10.1002/iju5.12064
Popis: Introduction Paraphimosis is a urologic emergency in which the foreskin of the penis becomes trapped behind the coronal sulcus and forms a tight band of constricting tissue. Surgical or conservative release of this constriction is required for the treatment. Delayed treatment will cause devastating outcomes, such as penile glans necrosis. A few studies have reported penile glans necrosis/gangrene, but long‐term follow‐up of the recovery from glans necrosis due to paraphimosis has not been previously reported. Case presentation A 25‐year‐old man who experienced glans necrosis following paraphimosis was not treated promptly with circumcision. The patient underwent conservative treatment with debridement of necrotic tissue and cystostomy for urethral meatal necrosis. We were able to prevent partial penectomy. His penile glans was covered with healthy epithelium and retained its natural shape and voiding and erectile functions were normal 2 years after the treatment. Conclusion We report successful conservative management of penile glans necrosis.
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