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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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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. |
format | Online Article Text |
id | pubmed-7292180 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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