Penile gangrene due to improper application of a condom catheter: a case report

Abstract Background Fournier’s gangrene is a rare, fulminant, and usually localized necrotizing soft tissue polymicrobial infection of the perineum, with occasional extension up to the abdominal wall. Case presentation We describe an unusual case of penile gangrene in a 64-year-old Tunisian man suff...

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Main Authors: Kays Chaker, Yassine Ouanes, Makram Rinchi, Nizar Cherni, Mokhtar Bibi, Kheireddine Mrad Dali, Yassine Nouira
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-023-03771-x
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author Kays Chaker
Yassine Ouanes
Makram Rinchi
Nizar Cherni
Mokhtar Bibi
Kheireddine Mrad Dali
Yassine Nouira
author_facet Kays Chaker
Yassine Ouanes
Makram Rinchi
Nizar Cherni
Mokhtar Bibi
Kheireddine Mrad Dali
Yassine Nouira
author_sort Kays Chaker
collection DOAJ
description Abstract Background Fournier’s gangrene is a rare, fulminant, and usually localized necrotizing soft tissue polymicrobial infection of the perineum, with occasional extension up to the abdominal wall. Case presentation We describe an unusual case of penile gangrene in a 64-year-old Tunisian man suffering from urinary incontinence secondary to cerebrovascular accident. Gangrene developed due to continuous tourniquet effect on the penis caused by a condom catheter. Although source control was achieved with aggressive debridement, careful wound care, and wide-spectrum antibiotherapy, the patient died due to septic shock. Conclusion Use of condom catheters is not without complications. Careful placement, strict hygiene, and regular monitoring of the local condition are necessary.
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spelling doaj.art-9c17292cd82a4c8f99acdf4f8810a6102023-02-05T12:14:02ZengBMCJournal of Medical Case Reports1752-19472023-01-011711310.1186/s13256-023-03771-xPenile gangrene due to improper application of a condom catheter: a case reportKays Chaker0Yassine Ouanes1Makram Rinchi2Nizar Cherni3Mokhtar Bibi4Kheireddine Mrad Dali5Yassine Nouira6Department of Urology, La Rabta HospitalDepartment of Urology, La Rabta HospitalDepartment of Urology, La Rabta HospitalDepartment of Urology, La Rabta HospitalDepartment of Urology, La Rabta HospitalDepartment of Urology, La Rabta HospitalDepartment of Urology, La Rabta HospitalAbstract Background Fournier’s gangrene is a rare, fulminant, and usually localized necrotizing soft tissue polymicrobial infection of the perineum, with occasional extension up to the abdominal wall. Case presentation We describe an unusual case of penile gangrene in a 64-year-old Tunisian man suffering from urinary incontinence secondary to cerebrovascular accident. Gangrene developed due to continuous tourniquet effect on the penis caused by a condom catheter. Although source control was achieved with aggressive debridement, careful wound care, and wide-spectrum antibiotherapy, the patient died due to septic shock. Conclusion Use of condom catheters is not without complications. Careful placement, strict hygiene, and regular monitoring of the local condition are necessary.https://doi.org/10.1186/s13256-023-03771-xPenisGangreneCondom catheterPenectomy
spellingShingle Kays Chaker
Yassine Ouanes
Makram Rinchi
Nizar Cherni
Mokhtar Bibi
Kheireddine Mrad Dali
Yassine Nouira
Penile gangrene due to improper application of a condom catheter: a case report
Journal of Medical Case Reports
Penis
Gangrene
Condom catheter
Penectomy
title Penile gangrene due to improper application of a condom catheter: a case report
title_full Penile gangrene due to improper application of a condom catheter: a case report
title_fullStr Penile gangrene due to improper application of a condom catheter: a case report
title_full_unstemmed Penile gangrene due to improper application of a condom catheter: a case report
title_short Penile gangrene due to improper application of a condom catheter: a case report
title_sort penile gangrene due to improper application of a condom catheter a case report
topic Penis
Gangrene
Condom catheter
Penectomy
url https://doi.org/10.1186/s13256-023-03771-x
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AT nizarcherni penilegangreneduetoimproperapplicationofacondomcatheteracasereport
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