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      Noninfectious glans gangrene in a diabetic male

      case-report
      Author(s): , ,
      Publication date (Electronic):
      Journal: Urology Annals
      Publisher: Wolters Kluwer - Medknow
      Keywords: Amputation, diabetic, glans gangrene

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          Abstract

          Limited glans penis gangrene is a rare subset of penile gangrene and is associated with favorable prognosis as compared to more aggressive course of the similar entity in moribund diabetic end-stage renal disease patients. A 64-year-old diabetic, hypertensive male with a history of tobacco consumption, bilateral great toe amputations, and normal renal function, presented with gangrene of glans penis and lower urinary tract symptoms. Early surgical debridement, glycemic control, and alpha-blocker treatment were successful in controlling the disease. There was no further progress of the gangrene requiring further amputation and no voiding difficulties after 6 months of follow-up.

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          Surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis.

          D Weiner, F C Lowe (1996)
          We determined whether early surgical intervention for ischemic penile gangrene in diabetics can be successful and limit morbidity. A retrospective review was done of 7 diabetic patients with ischemic penile gangrene. Three patients underwent early distal penectomy without complications. All 4 patients initially observed suffered liquefaction and progression from dry to wet gangrene, and 2 underwent surgery (subtotal penectomy in 1 and distal penectomy in 1 who required reoperations for wound complications). With appropriate patient selection, surgical intervention can be successful and provide a better quality of life for those without terminal disease. Delaying intervention will usually require more extensive surgery and increase the risk of wound complications. However, observation is indicated for moribund hospitalized patients.
          Article 0 comments Cited 15 times – based on 0 reviews     Review now
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            Penile gangrene associated with chronic renal failure: report of 7 cases and review of the literature.

            Elizabeth Stein, C Anderson, R. Ricciardi … (1994)
            Distal penile gangrene associated with renal failure is a rare entity with only 3 cases reported in the literature. Certain physiological abnormalities are commonly found in association with this condition, including secondary hyperparathyroidism, diabetes and peripheral vascular disease. We report our experience with 7 patients who presented with this condition. All patients had end stage renal disease with 5 on hemodialysis, 1 on peritoneal dialysis and 1 with a functioning cadaveric renal transplant. Six patients had diabetes mellitus and all had derangements of the calcium and phosphate metabolism, with the calcium-phosphorus product being greater than 70. Five patients were treated expectantly with resolution of gangrene in 2 and stable disease in 3. Three of the 5 patients managed expectantly and both patients treated with penectomy died of unrelated causes within 3 months. We conclude that there is no advantage to aggressive surgical treatment of penile gangrene associated with renal failure, since the outcome is the same. The overall mortality for this group is high due to associated co-morbid disease regardless of the type of treatment. Furthermore, subtotal parathyroidectomy is not indicated, since spontaneous improvement and mortality rates reported in our series were similar to those of previously reported cases. Expectant management of affected patients affords the best treatment.
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              Gangrene of the penis in a diabetic male with multiple amputations and follow up

              P. Vijayan (2009)
              A 60-year-old insulin dependent, diabetic male with severe atherosclerosis requiring multiple amputations in the extremities in the past, with normal renal function presented with gangrene of glans penis. He was initially treated with debridement but as the gangrene progressed, partial penile amputation was performed. He showed no further progress of the disease and had no voiding difficulties even after 4 years of follow up.
              Article 0 comments Cited 5 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Urol Ann
                Journal ID (iso-abbrev): Urol Ann
                Journal ID (publisher-id): UA
                Title: Urology Annals
                Publisher: Wolters Kluwer - Medknow (India )
                ISSN (Print): 0974-7796
                ISSN (Electronic): 0974-7834
                Publication date (Print): Jan-Mar 2020
                Publication date (Electronic): 23 December 2019
                Volume: 12
                Issue: 1
                Pages: 77-79
                Affiliations
                [1]Department of Urology, Tata Main Hospital, Jamshedpur, Jharkhand, India
                Author notes
                Address for correspondence: Dr. Gyvi Gaurav, Department of Urology, Tata Main Hospital, C Road West, Northern Town, Bistupur, Jamshedpur - 831 001, Jharkhand, India. E-mail: gyvi.gaurav@ 123456gmail.com
                Article
                Publisher ID: UA-12-77
                DOI: 10.4103/UA.UA_65_19
                PMC ID: 6978977
                SO-VID: fa460e84-95d7-4509-87ca-f4ee5169dca2
                Copyright © Copyright: © 2019 Urology Annals
                License:

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                Date received : 03 May 2019
                Date accepted : 20 November 2019
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Urology
                Keywords: amputation,diabetic,glans gangrene
                Data availability:
                ScienceOpen disciplines: Urology
                Keywords: amputation, diabetic, glans gangrene

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