Ischemia of the glans penis following circumcision: case report and revision of the literature

  • Pietro Pepe | piepepe@hotmail.com Urology Unit, Cannizzaro Hospital, Catania, Italy.
  • Francesco Pietropaolo Urology Unit, Cannizzaro Hospital, Catania, Italy.
  • Giuseppe Candiano Urology Unit, Cannizzaro Hospital, Catania, Italy.
  • Michele Pennisi Urology Unit, Cannizzaro Hospital, Catania, Italy.

Abstract

Ischemic complications of the glans penis are rare and commonly result from trauma, inadvertent administration of vasoconstrictive solutions, diabetes mellitus, circumcision and vasculitis; we refer about a young man with severe ischemia of the glans penis following circumcision. The patient had undergone circumcision 5 days before in a surgery department under local anesthesia (1% mepivacaine hydrochloride). The patient noticed a brownish color and edema of the glans penis at 24 h after he opened the wound dressing, but arrived to our hospital only 5 days after circumcision because these findings had progressed. Physical examination revealed the black color or necrotic appearance of the glans penis, and edema on the dorsal penile skin. The patient underwent antibiotic, antiplatatelet, corticosteroid and iperbaric therapy achieving a complete restitutio ad integrum.

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Published
2015-03-31
Info
Issue
Section
Case Reports - Andrology
Keywords:
Ischemia of the glans penis, Circumcision complications, Glans penis
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How to Cite
Pepe, P., Pietropaolo, F., Candiano, G., & Pennisi, M. (2015). Ischemia of the glans penis following circumcision: case report and revision of the literature. Archivio Italiano Di Urologia E Andrologia, 87(1), 93-94. https://doi.org/10.4081/aiua.2015.1.93

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