Case Report: Penile necrosis associated to paraphimosis with calciphylaxis due to terminal chronic kidney disease.

Abstract

Background: Penile necrosis is a rare condition that may present in patients with diabetes mellitus or chronic kidney disease (CKD). The recommended treatment is controversial. We report a case of penile necrosis in a diabetic patient caused by episode of paraphimosis associated with uremic arteriopathy treated with partial amputation. Clinical Case: A 53-year-old male with a background of arterial hypertension, diabetes mellitus and CKD in hemodialysis. The patient presented with paraphimosis and glans necrosis. An emergency circumcision was carried out. A doppler ultrasound found fluid collection in the left corpus cavernosum, parietal vascular calcifications and vascular insufficiency in the corpus cavernosum that suggested necrosis. A partial amputation of the penis was carried out. After three years of follow-up, the outcome has remained favorable. Conclusions: Penile necrosis is a rare but serious complication of terminal CKD. In these patients, systemic calciphylaxis is usually observed. The main take-away lesson is that a multidisciplinary approach is necessary.

• Authors: J Antonio Grandez-Urbina, Elizabeth Corrales-Acosta, J Eduardo Tejeda-Mariaca, Rafael Pichardo-Rodriguez, Herney Garcia-Perdomo
• Journal: F1000Research (F1000Res) Vol. 8 Pg. 1133 ( 2019) ISSN: 2046-1402 [Electronic] England
• PMID: 31448110 (Publication Type: Case Reports, Journal Article)

Topics

• Calciphylaxis (complications)
• Humans
• Kidney Failure, Chronic (complications)
• Male
• Middle Aged
• Necrosis (complications)
• Paraphimosis (complications)
• Penile Diseases (complications)
• Renal Dialysis