Necrosis of the penis due to the use of a condom catheter (Texas catheter): case presentation at the Guatemalan Social Security Institute
DOI:
https://doi.org/10.54212/27068048.v9i2.4Keywords:
Necrosis of the penis, Total penectomy, ManagementAbstract
Aim: Penile necrosis is a urological disease generally associated with chronic degenerative diseases. In Guatemala there is no publication on the subject which means that the clinical case presented provides important information. Clinical Case Presentation: An elderly patient who uses a condom-type catheter for urinary drainage which, when used improperly, causes prolonged compression of the penis. It produces decrease in blood flow, edema and ecchymosis; subsequently causing necrosis of the penis which is treated surgically with total penectomy and perineal urethrostomy due to the failure of conservative treatment. Discussion: The patients with early diagnosis and timely treatment present adequate post-surgical evolution. Conclusions: Despite being a rare disease, penile necrosis has a high morbidity and mortality, mainly if it is associated with chronic degenerative diseases. Early diagnosis and treatment are fundamental pillars to improve the survival of patients.
Downloads
References
HARRIS, C.F.; MYDLO, J.H.: "Ischemia and gangrene of the penis". J. Urol., 169: 1795, 2003. https://doi.org/10.1097/01.ju.0000057796.64080.3a DOI: https://doi.org/10.1097/01.ju.0000057796.64080.3a
KARDAR, A.; PETTERSON, B.A.: "Penile gangrene: a complication of penile prosthesis". Scand. Journal. Urol. Nephrol., 29: 355, 1995. https://doi.org/10.3109/00365599509180591 DOI: https://doi.org/10.3109/00365599509180591
HANDA, S.P.; STRZELCZAK, D.: "Uremic small artery disease: calciphylaxis with penis involvement". Clin. Nephrol., 50: 258, 1998.
WEINER, D.M.; LOWE F.C.: "Surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis". J. Urol., 155: 926, 1996. https://doi.org/10.1016/S0022-5347(01)66348-1
BOUR J, STEINHARDT G. "Penile necrosis in patients with diabetes mellitus and end stage renal disease". J Urol 1984; 132: 560. https://doi.org/10.1016/S0022-5347(17)49740-0 DOI: https://doi.org/10.1016/S0022-5347(17)49740-0
ALTMAN A, SEFTEL AD, BROWN SL ET AL. "Cocaine associated priapism". J Urol 1999; 161: 1817. https://doi.org/10.1016/S0022-5347(05)68812-X DOI: https://doi.org/10.1016/S0022-5347(05)68812-X
SEOANE VELA, M.A.; TERAN HINOJOSA, M.; PRESNO BERNAL, M. y cols.: "Calcifilaxis de Pene". Revista Mexicana de Urología, 64: 89, 2004.
RAO, C.N.; HECKMAN, H.; OLSSON C.A.: "Trombocytopenia with external genital gangrene". J. Urol., 122: 208, 1974. https://doi.org/10.1016/S0022-5347(17)59687-1 DOI: https://doi.org/10.1016/S0022-5347(17)59687-1
STEIN, M.; ANDERSON, C.; RICCIARDI, R. y cols.: "Penile gangrene associated with chronic renal failure: report of 7 cases and review of the literature". J. Urol., 152: 2014, 1994. https://doi.org/10.1016/S0022-5347(17)32294-2 DOI: https://doi.org/10.1016/S0022-5347(17)32294-2
WEINER DM, LOWE FC. "Surgical management of ischemic penile gangrene in diabetics with end stage aterosclerosis". J Urol 1996; 155: 926. DOI: https://doi.org/10.1016/S0022-5347(01)66348-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Fernanda Lilí Barrios Martínez, Carlos Gonzalo Estrada Pazos y Andrés Salvador Escobar Gómez
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
