Treatment of ischemic penile and scrotum gangrene
- Authors: Latypov V.R1, Kluev M.V1, Novikov S.I1
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Affiliations:
- Siberian State Medical University of the Ministry of Health of Russia «Siberian State Medical University»
- Issue: No 6 (2021)
- Pages: 124-126
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/312746
- DOI: https://doi.org/10.18565/urology.2021.6.124-126
- ID: 312746
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Abstract
Gangrene of the penis is a rare condition manifesting with purulent necrotization of penile tissues and systemic inflammatory response. In more than 90% of cases, the cause of the development of the penile and scrotal gangrene is rapidly progressive necrotizing fasciitis of polymicrobial etiology, which predominantly affected the external genital organs. Isolated cases of penile gangrene development when using the restraining rings of the penis are described in literature (condom urine collection bag, rings for erection, etc.). Cases of penile and scrotum gangrene, when treatment with bilateral orchiectomy and penectomy is required are quite rare. We present the case of penlie and scrotum gangrene in an 86-year-old patient with mental disorders. The cause of gangrene was long-term forced position of the patient with infringement of the penis and scrotum by the thighs. Active intensive therapy, surgical removal of the penis, scrotum and testicles and urine diversion by the imposition of a trocar cystostomy saved the patient’s life and he was discharged from the hospital in a satisfactory condition.
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About the authors
V. R Latypov
Siberian State Medical University of the Ministry of Health of Russia «Siberian State Medical University»
Email: vitya.latypov@mail.ru
Dr. med. Head of the Urology Department of the Clinic of General Surgery Professor of the Department of Surgery with the course of mobilization training and disaster medicine at FPK and PPS Federal State Budgetary Educational Institution of Higher Education Siberian State Medical University of the Ministry of Health of Russia «Siberian State Medical University» Tomsk, Russia
M. V Kluev
Siberian State Medical University of the Ministry of Health of Russia «Siberian State Medical University»Urologist Department of urology General surgery clinic Siberian state medical University Tomsk, Russia
S. I Novikov
Siberian State Medical University of the Ministry of Health of Russia «Siberian State Medical University»Urologist Department of urology General surgery clinic Siberian state medical University Tomsk, Russia
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