Cargando…

Severe penile injury due to condom catheter fixed by a rubber band: A case report

INTRODUCTION: Condom catheters are considered as a safe tool in the management of male urinary incontinence, yet complications may occur, especially in debilitated patients, with psychiatric disorders. PRESENTATION OF CASE: A 58-year-old paraplegic man, suffering from schizophrenia, who had been usi...

Descripción completa

Detalles Bibliográficos
Autores principales: Zaghbib, Selim, Chakroun, Marouene, Saadi, Ahmed, Boussaffa, Hamza, Bouzouita, Abderrazak, Derouiche, Amine, Ben Slama, Mohamed Riadh, Ayed, Haroun, Chebil, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806461/
https://www.ncbi.nlm.nih.gov/pubmed/31634783
http://dx.doi.org/10.1016/j.ijscr.2019.10.009
_version_ 1783461632249167872
author Zaghbib, Selim
Chakroun, Marouene
Saadi, Ahmed
Boussaffa, Hamza
Bouzouita, Abderrazak
Derouiche, Amine
Ben Slama, Mohamed Riadh
Ayed, Haroun
Chebil, Mohamed
author_facet Zaghbib, Selim
Chakroun, Marouene
Saadi, Ahmed
Boussaffa, Hamza
Bouzouita, Abderrazak
Derouiche, Amine
Ben Slama, Mohamed Riadh
Ayed, Haroun
Chebil, Mohamed
author_sort Zaghbib, Selim
collection PubMed
description INTRODUCTION: Condom catheters are considered as a safe tool in the management of male urinary incontinence, yet complications may occur, especially in debilitated patients, with psychiatric disorders. PRESENTATION OF CASE: A 58-year-old paraplegic man, suffering from schizophrenia, who had been using condom urinary catheters, was referred to our department for “penile injury”. Interrogation revealed that he was placing a rubber band tightly around his penis to maintain the condom. Examination showed a 4 cm defect interesting the proximal portion of the penis including the corpus spongiosum and the urethra. A surgical repair was performed, consisting in covering the defect using the surrounding tissue. Unfortunately, the patient developed penile gangrene four weeks after surgery. A partial penectomy was performed. DISCUSSION: Condom catheters are known as a safe tool to manage urinary incontinence in male patients, providing an adequate care. Long-term use may result in complications including urinary tract infection (40%) and skin injuries ranging from inflammation to gangrene. Gangrene, secondary to strangulation of the penis, is however uncommon. These complications are more common in debilitated patients with poor medical care or psychiatric disorders. In case of necrosis, debridement should be performed, which may result in a partial or a total penectomy if necessary. CONCLUSION: Condom catheter is frequently used to manage male urinary incontinence but it should not be used carelessly or overlooked as it can cause severe complications such as penile strangulation and penile gangrene.
format Online
Article
Text
id pubmed-6806461
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-68064612019-10-25 Severe penile injury due to condom catheter fixed by a rubber band: A case report Zaghbib, Selim Chakroun, Marouene Saadi, Ahmed Boussaffa, Hamza Bouzouita, Abderrazak Derouiche, Amine Ben Slama, Mohamed Riadh Ayed, Haroun Chebil, Mohamed Int J Surg Case Rep Article INTRODUCTION: Condom catheters are considered as a safe tool in the management of male urinary incontinence, yet complications may occur, especially in debilitated patients, with psychiatric disorders. PRESENTATION OF CASE: A 58-year-old paraplegic man, suffering from schizophrenia, who had been using condom urinary catheters, was referred to our department for “penile injury”. Interrogation revealed that he was placing a rubber band tightly around his penis to maintain the condom. Examination showed a 4 cm defect interesting the proximal portion of the penis including the corpus spongiosum and the urethra. A surgical repair was performed, consisting in covering the defect using the surrounding tissue. Unfortunately, the patient developed penile gangrene four weeks after surgery. A partial penectomy was performed. DISCUSSION: Condom catheters are known as a safe tool to manage urinary incontinence in male patients, providing an adequate care. Long-term use may result in complications including urinary tract infection (40%) and skin injuries ranging from inflammation to gangrene. Gangrene, secondary to strangulation of the penis, is however uncommon. These complications are more common in debilitated patients with poor medical care or psychiatric disorders. In case of necrosis, debridement should be performed, which may result in a partial or a total penectomy if necessary. CONCLUSION: Condom catheter is frequently used to manage male urinary incontinence but it should not be used carelessly or overlooked as it can cause severe complications such as penile strangulation and penile gangrene. Elsevier 2019-10-15 /pmc/articles/PMC6806461/ /pubmed/31634783 http://dx.doi.org/10.1016/j.ijscr.2019.10.009 Text en © 2019 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zaghbib, Selim
Chakroun, Marouene
Saadi, Ahmed
Boussaffa, Hamza
Bouzouita, Abderrazak
Derouiche, Amine
Ben Slama, Mohamed Riadh
Ayed, Haroun
Chebil, Mohamed
Severe penile injury due to condom catheter fixed by a rubber band: A case report
title Severe penile injury due to condom catheter fixed by a rubber band: A case report
title_full Severe penile injury due to condom catheter fixed by a rubber band: A case report
title_fullStr Severe penile injury due to condom catheter fixed by a rubber band: A case report
title_full_unstemmed Severe penile injury due to condom catheter fixed by a rubber band: A case report
title_short Severe penile injury due to condom catheter fixed by a rubber band: A case report
title_sort severe penile injury due to condom catheter fixed by a rubber band: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806461/
https://www.ncbi.nlm.nih.gov/pubmed/31634783
http://dx.doi.org/10.1016/j.ijscr.2019.10.009
work_keys_str_mv AT zaghbibselim severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT chakrounmarouene severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT saadiahmed severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT boussaffahamza severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT bouzouitaabderrazak severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT derouicheamine severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT benslamamohamedriadh severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT ayedharoun severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport
AT chebilmohamed severepenileinjuryduetocondomcatheterfixedbyarubberbandacasereport