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. 2014 Apr;32(1):66-8.
doi: 10.5534/wjmh.2014.32.1.66. Epub 2014 Apr 25.

Necrosis of the penis with multiple vessel atherosclerosis

Sung Dae Kim  1 , Jung Sik Huh  1 , Young-Joo Kim  1
Affiliations

Necrosis of the penis with multiple vessel atherosclerosis

Sung Dae Kim et al. World J Mens Health. 2014 Apr.

Abstract

Penile necrosis is a very rare complication because of its rich collateral supply. Conservative management is apt to be ineffective; thus penectomy is usually performed. We present a case of penile necrosis and claudication of both legs with multiple atherosclerosis in a type II diabetes mellitus patient who was successfully treated with angioplasty, penoplasty, and additional intracavernous injections of prostaglandin E1. The treatment resulted in relief of the leg pain and healing of the penile ischemic lesions.

Keywords: Atherosclerosis; Necrosis; Penis.

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Figures

Fig. 1
Fig. 1
The penile meatal areas were covered by necrosis and ventral portion of the penis were dusky with discharge.
Fig. 2
Fig. 2
Arteriogram showed severe narrowing of the common and external iliac arteries. Both internal iliac arteries were diffusely narrowed with sluggish flow. The pudendal arteries were occluded proximally with no visualization of the penile vessels.
Fig. 3
Fig. 3
Arterial flow was not visualized in the both foot.
Fig. 4
Fig. 4
Necrotic eschars were peeled off and transformed into normal penis.
See this image and copyright information in PMC

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