Long‐term follow‐up of penile glans necrosis due to paraphimosis
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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-07-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12064 |
| _version_ | 1818586241853030400 |
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| author | Yoshikazu Sato Seiji Takagi Kosuke Uchida Masaki Shima Musashi Tobe Kazunori Haga Ichiya Honama Megumi Hirobe |
| author_facet | Yoshikazu Sato Seiji Takagi Kosuke Uchida Masaki Shima Musashi Tobe Kazunori Haga Ichiya Honama Megumi Hirobe |
| author_sort | Yoshikazu Sato |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-16T08:49:51Z |
| format | Article |
| id | doaj.art-5cffa5b8c83a474dae4374d6cca3dd7d |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-12-16T08:49:51Z |
| publishDate | 2019-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-5cffa5b8c83a474dae4374d6cca3dd7d2022-12-21T22:37:29ZengWileyIJU Case Reports2577-171X2019-07-012417117310.1002/iju5.12064Long‐term follow‐up of penile glans necrosis due to paraphimosisYoshikazu Sato0Seiji Takagi1Kosuke Uchida2Masaki Shima3Musashi Tobe4Kazunori Haga5Ichiya Honama6Megumi Hirobe7Department of Urology Sanjukai Hospital Sapporo JapanDepartment of Urology Kutchan‐Kosei General Hospital Abuta‐gun, Hokkaido JapanDepartment of Urology Sanjukai Hospital Sapporo JapanDepartment of Urology Kutchan‐Kosei General Hospital Abuta‐gun, Hokkaido JapanDepartment of Urology Sanjukai Hospital Sapporo JapanDepartment of Urology Sanjukai Hospital Sapporo JapanDepartment of Urology Sanjukai Hospital Sapporo JapanDepartment of Urology Sanjukai Hospital Sapporo JapanIntroduction 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.https://doi.org/10.1002/iju5.12064cystostomydebridementlong‐term follow‐upparaphimosispenile necrosis |
| spellingShingle | Yoshikazu Sato Seiji Takagi Kosuke Uchida Masaki Shima Musashi Tobe Kazunori Haga Ichiya Honama Megumi Hirobe Long‐term follow‐up of penile glans necrosis due to paraphimosis IJU Case Reports cystostomy debridement long‐term follow‐up paraphimosis penile necrosis |
| title | Long‐term follow‐up of penile glans necrosis due to paraphimosis |
| title_full | Long‐term follow‐up of penile glans necrosis due to paraphimosis |
| title_fullStr | Long‐term follow‐up of penile glans necrosis due to paraphimosis |
| title_full_unstemmed | Long‐term follow‐up of penile glans necrosis due to paraphimosis |
| title_short | Long‐term follow‐up of penile glans necrosis due to paraphimosis |
| title_sort | long term follow up of penile glans necrosis due to paraphimosis |
| topic | cystostomy debridement long‐term follow‐up paraphimosis penile necrosis |
| url | https://doi.org/10.1002/iju5.12064 |
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