Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature

A subcutaneous abscess of the penis is a rare condition. It can be idiopathic or have an underlying cause, such as intracavernous injection therapy, foreign body, dilated perineal abscess, abnormal erection, or trauma. Clinical signs are mainly swelling in the penis, penile pain, and swelling. Conve...

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Main Authors: Yinuo Yuan, Lei Meng, Ruixian Wang, Zhiyang Zhang, Jihua Yang, Xiaolong Zhang, Jianglei Xu, Yao Meng, Wenjing Zhang, Cun Liu, MD
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001024
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author Yinuo Yuan
Lei Meng
Ruixian Wang
Zhiyang Zhang
Jihua Yang
Xiaolong Zhang
Jianglei Xu
Yao Meng
Wenjing Zhang
Cun Liu, MD
author_facet Yinuo Yuan
Lei Meng
Ruixian Wang
Zhiyang Zhang
Jihua Yang
Xiaolong Zhang
Jianglei Xu
Yao Meng
Wenjing Zhang
Cun Liu, MD
author_sort Yinuo Yuan
collection DOAJ
description A subcutaneous abscess of the penis is a rare condition. It can be idiopathic or have an underlying cause, such as intracavernous injection therapy, foreign body, dilated perineal abscess, abnormal erection, or trauma. Clinical signs are mainly swelling in the penis, penile pain, and swelling. Conventional treatment is primarily surgical incision and drainage, followed by systemic antibiotic therapy. In recent years, with the development of medical technology, minimally invasive interventions and less invasive techniques, such as ultrasound-guided aspiration, are being developed. This article aims to report a case of ultrasound-guided successful diagnosis and treatment of an aseptic idiopathic subcutaneous abscess at the root of the penis and to review the literature on penile abscesses. The patient, a 61-year-old male, underwent ultrasound-guided puncture and drainage using a coaxial aspiration/flushing technique in combination with antibiotics to treat this rare urinary tract condition. The patient recovered well postoperatively and was discharged 3 days later. At a 2-week postoperative follow-up, an ultrasound showed a marked reduction in the penile abscess mass.
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spelling doaj.art-22730ca3f15d40ad92b25f80e05a30222023-04-01T08:46:15ZengElsevierRadiology Case Reports1930-04332023-05-0118517961808Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literatureYinuo Yuan0Lei Meng1Ruixian Wang2Zhiyang Zhang3Jihua Yang4Xiaolong Zhang5Jianglei Xu6Yao Meng7Wenjing Zhang8Cun Liu, MD9Shandong First Medical University, Jinan, China; Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaSchool of Medical Imaging, Weifang Medical College, Weifang, China; Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaShandong First Medical University, Jinan, China; Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaShandong First Medical University, Jinan, China; Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaDepartment of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaDepartment of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaDepartment of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaShandong First Medical University, Jinan, China; Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaSchool of Medical Imaging, Weifang Medical College, Weifang, China; Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, ChinaDepartment of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China; Corresponding author.A subcutaneous abscess of the penis is a rare condition. It can be idiopathic or have an underlying cause, such as intracavernous injection therapy, foreign body, dilated perineal abscess, abnormal erection, or trauma. Clinical signs are mainly swelling in the penis, penile pain, and swelling. Conventional treatment is primarily surgical incision and drainage, followed by systemic antibiotic therapy. In recent years, with the development of medical technology, minimally invasive interventions and less invasive techniques, such as ultrasound-guided aspiration, are being developed. This article aims to report a case of ultrasound-guided successful diagnosis and treatment of an aseptic idiopathic subcutaneous abscess at the root of the penis and to review the literature on penile abscesses. The patient, a 61-year-old male, underwent ultrasound-guided puncture and drainage using a coaxial aspiration/flushing technique in combination with antibiotics to treat this rare urinary tract condition. The patient recovered well postoperatively and was discharged 3 days later. At a 2-week postoperative follow-up, an ultrasound showed a marked reduction in the penile abscess mass.http://www.sciencedirect.com/science/article/pii/S1930043323001024Contrast-enhanced ultrasoundPenile abscessUltrasonographyUltrasound-guided puncture and drainageCase report
spellingShingle Yinuo Yuan
Lei Meng
Ruixian Wang
Zhiyang Zhang
Jihua Yang
Xiaolong Zhang
Jianglei Xu
Yao Meng
Wenjing Zhang
Cun Liu, MD
Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature
Radiology Case Reports
Contrast-enhanced ultrasound
Penile abscess
Ultrasonography
Ultrasound-guided puncture and drainage
Case report
title Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature
title_full Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature
title_fullStr Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature
title_full_unstemmed Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature
title_short Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature
title_sort ultrasound guided puncture and drainage for penile abscess case report and review of the literature
topic Contrast-enhanced ultrasound
Penile abscess
Ultrasonography
Ultrasound-guided puncture and drainage
Case report
url http://www.sciencedirect.com/science/article/pii/S1930043323001024
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