Ischemic Gangrene of the Glans following Penile Prosthesis ImplantationReport as inadecuate

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Case Reports in UrologyVolume 2013 2013, Article ID 323574, 4 pages

Case Report

Urology Department, Hospital Universitario 12 Octubre, Avenida. De Córdoba s-n, 28041 Madrid, Spain

Red Española de Investigación en la Salud del Hombre REISHO, 08037 Barcelona, Spain

Urology Department, Hospital Clínic Barcelona, Villarroel 170, 08037 Barcelona, Spain

Received 8 March 2013; Accepted 26 June 2013

Academic Editors: A. Goel, C. Liao, and M. Marszalek

Copyright © 2013 Borja García Gómez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The development of ischemic gangrene of the penis following implantation of prosthesis is unusual, and very few cases are available in the literature. As a result, no established treatment protocol is available. We report our experience within a case of gangrene of the glans following implantation of a three-component prosthesis. We present a 53-year-old male, smoker with diabetes and hypercholesterolemia, who underwent surgery for the insertion of a penile prosthesis with 3 components to correct his erectile dysfunction and severe Peyronie-s disease. The procedure was carried out without incidents. During the postoperative period, the patient began to complain from penile and perineal pain. He developed avascular necrosis of the glans. The necrosed area was excised. Four weeks later, he developed fever and perineal pain arriving to the emergency room with the prosthesis extruding through the glans. He had emergency surgery to remove the prosthesis plus surgical lavage and was prescribed broad-spectrum antibiotic therapy. Four weeks later, the penis was completely revascularized and reepithelialized. Ischemic gangrene following penile prosthesis implantation takes place in patients with poor peripheral vascularisation. Diabetes mellitus has been the common denominator to all of the reported cases.

Author: Borja García Gómez, Javier Romero Otero, Laura Díez Sicilia, Estibaliz Jiménez Alcaide, Eduardo García-Cruz, and Alfredo



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