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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...

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Autores principales: Sato, Yoshikazu, Takagi, Seiji, Uchida, Kosuke, Shima, Masaki, Tobe, Musashi, Haga, Kazunori, Honama, Ichiya, Hirobe, Megumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292180/
https://www.ncbi.nlm.nih.gov/pubmed/32743402
http://dx.doi.org/10.1002/iju5.12064
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author Sato, Yoshikazu
Takagi, Seiji
Uchida, Kosuke
Shima, Masaki
Tobe, Musashi
Haga, Kazunori
Honama, Ichiya
Hirobe, Megumi
author_facet Sato, Yoshikazu
Takagi, Seiji
Uchida, Kosuke
Shima, Masaki
Tobe, Musashi
Haga, Kazunori
Honama, Ichiya
Hirobe, Megumi
author_sort Sato, Yoshikazu
collection PubMed
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.
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spelling pubmed-72921802020-07-30 Long‐term follow‐up of penile glans necrosis due to paraphimosis Sato, Yoshikazu Takagi, Seiji Uchida, Kosuke Shima, Masaki Tobe, Musashi Haga, Kazunori Honama, Ichiya Hirobe, Megumi IJU Case Rep Case Reports 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. John Wiley and Sons Inc. 2019-04-10 /pmc/articles/PMC7292180/ /pubmed/32743402 http://dx.doi.org/10.1002/iju5.12064 Text en © 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Sato, Yoshikazu
Takagi, Seiji
Uchida, Kosuke
Shima, Masaki
Tobe, Musashi
Haga, Kazunori
Honama, Ichiya
Hirobe, Megumi
Long‐term follow‐up of penile glans necrosis due to paraphimosis
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 Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292180/
https://www.ncbi.nlm.nih.gov/pubmed/32743402
http://dx.doi.org/10.1002/iju5.12064
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