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Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition

Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we des...

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Autores principales: Campbell, Rebecca A., Alzweri, Laith M., Sopko, Nikolai A., Macura, Katarzyna J., Burnett, Arthur L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429139/
https://www.ncbi.nlm.nih.gov/pubmed/28507910
http://dx.doi.org/10.1016/j.eucr.2017.03.008
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author Campbell, Rebecca A.
Alzweri, Laith M.
Sopko, Nikolai A.
Macura, Katarzyna J.
Burnett, Arthur L.
author_facet Campbell, Rebecca A.
Alzweri, Laith M.
Sopko, Nikolai A.
Macura, Katarzyna J.
Burnett, Arthur L.
author_sort Campbell, Rebecca A.
collection PubMed
description Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient with protracted resolution of dry gangrene of the glans, which failed conservative management of wound care and pain management. Radiological studies revealed extensive calcification of abdominal aorta and branching vessels including the penile arteries. Due to intolerable pain, the patient required total penectomy. Earlier surgical intervention guided by findings on radiological studies may improve quality of life in this population.
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spelling pubmed-54291392017-05-15 Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition Campbell, Rebecca A. Alzweri, Laith M. Sopko, Nikolai A. Macura, Katarzyna J. Burnett, Arthur L. Urol Case Rep Trauma and Reconstruction Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient with protracted resolution of dry gangrene of the glans, which failed conservative management of wound care and pain management. Radiological studies revealed extensive calcification of abdominal aorta and branching vessels including the penile arteries. Due to intolerable pain, the patient required total penectomy. Earlier surgical intervention guided by findings on radiological studies may improve quality of life in this population. Elsevier 2017-05-11 /pmc/articles/PMC5429139/ /pubmed/28507910 http://dx.doi.org/10.1016/j.eucr.2017.03.008 Text en © 2017 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Trauma and Reconstruction
Campbell, Rebecca A.
Alzweri, Laith M.
Sopko, Nikolai A.
Macura, Katarzyna J.
Burnett, Arthur L.
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
title Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
title_full Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
title_fullStr Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
title_full_unstemmed Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
title_short Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
title_sort penile calciphylaxis: the use of radiological investigations in the management of a rare and challenging condition
topic Trauma and Reconstruction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429139/
https://www.ncbi.nlm.nih.gov/pubmed/28507910
http://dx.doi.org/10.1016/j.eucr.2017.03.008
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