Also available in: Español
Rev Mex Urol. 2018 November-December;78(6):444-48 DOI: https://doi.org/10.24245/revmexurol.v78i6.2416
Walter Osvaldo De Bonis,1 Agustín Dangelo,2 Rodrigo Medel,3 Adolfo Casabe,4 Amado José Bechara5
1 Urology Division, Department of Surgery, School of Medicine of the Universidad de Buenos Aires.
3 Urology Resident.
4 Urologist in charge of the Sexual Dysfunction Sector
5 Chief of the Urology Division, Professor of Urology, School of Medicine of the Universidad de Buenos Aires.
Hospital Durand, Buenos Aires, Argentina.
BACKGROUND: Necrosis of the glans penis after the placement of a penile prosthetic implant is a very rare complication. The main complications are associated with infection and mechanical failure of the implant.
CLINICAL CASE: Two cases of glans necrosis occurring after penile prosthesis implantation are reported herein. One patient progressed satisfactorily with conservative treatment, with no need for implant removal. The other progressed poorly, requiring extraction of the prosthesis and debridement of the necrotic tissue. There was spontaneous amputation of the glans penis.
CONCLUSIONS: Necrosis of the glans penis after penile prosthesis implantation is a rare complication and can be associated with elevated morbidity and mortality. It tends to affect patients with uncontrolled diabetes or pre-existing poor vascularization.
KEYWORDS: Necrosis; Glans penis; Penile prosthesis; Debridement.
Walter Osvaldo De Bonis