Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report

Tfeil Yahya; Mohamed Mahmoud Beya; Mohamed Elbchir Essalem

doi:doi:10.11648/j.wjmcr.20220303.12

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Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report

Tfeil Yahya, Mohamed Mahmoud Beya, Mohamed Elbchir Essalem

Published in World Journal of Medical Case Reports (Volume 3, Issue 3)

Received: 2 July 2022 Accepted: 23 July 2022 Published: 29 July 2022

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Abstract

Gangrene of the glans penis is a rare but serious condition because of rich collateral circulation and blood flow in the perineum and lower abdomen. The etiologies are diverse, with mainly predisposing factors of diabetes mellitus, artritis and chronic renal failure. We report the case of a 64-year-old diabetic patient with chronic smoking who presented to the emergency room of the nearest hospital for acute urinary retention which required the placement of an indwelling catheter, the patient developed severe penile pain after the placement of an indwelling catheter which was neglected by the care giver, four days later the patient presented again to the emergency room, but this time with severe supra pubic pain and necrosis of the glans, the patient was hospitalized and brad spectrum antibiotic was administered and he prepared for surgical treatment and had undergone a partial amputation of the penis after suprapubic urinary diversion. The evolution was marked by the installation of a stenosis of the urethral orifice which required repeated dilation, and the Histological examination of the specimen revealed no pathology other than severe necrosis, Indwelling catheter is frequently used to manage male urinary retention, but it should not be used carelessly or overlooked as it can cause severe complications such as penile gangrene.

Published in	World Journal of Medical Case Reports (Volume 3, Issue 3)
DOI	10.11648/j.wjmcr.20220303.12
Page(s)	43-45
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Ischemic Gangrene, Glans, Catheter, Diabetes, Mauritania

References

[1]	El Moutawakkil T, Elmortaji K, Arsalane A, Ellahik D, Aboutaieb R, Rabii R, et al. La gangrène ischémique de la verge chez un patient diabétique: à propos d’un cas. Pan Afr Med J [Internet]. 2015 May 29 [cited 2020 Sep 28]; 21. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4594971/
[2]	Zaghbib S, Chakroun M, Saadi A, Boussaffa H, Bouzouita A, Derouiche A, et al. Severe penile injury due to condom catheter fixed by a rubber band: A case report. Int J Surg Case Rep. 2019; 64: 120–2.
[3]	Cherukumudi A, Hegde S, Rajeev TP, Pai N, Kumar A, Kalra G. Rare case of gangrene of penis in a patient with chronic kidney disease on dialysis. Urol Case Rep. 2019 Jul; 25: 100901.
[4]	Deb PP, Choudhary A, Dey RK, Das RK. Isolated Involvement of Penis in Fournier’s Gangrene: A Rare Possibility. J Coll Physicians Surg--Pak JCPSP. 2018 Feb; 28 (2): 164–5.
[5]	Harris CF, Mydlo JH. Ischemia and gangrene of the penis. J Urol. 2003 May; 169 (5): 1795.
[6]	Razmi T M, Kumaran SM, Saikia UN, Dogra S. Gangrene of the Glans Penis in a Diabetic Patient Due to Calcific Arteriopathy. J Cutan Med Surg. 2018 Apr; 22 (2): 221.
[7]	Pandey S, Sharma D, Aggarwal A, Sharma A. Isolated Fournier’s gangrene of the penis with penile autoamputation. BMJ Case Rep. 2018 Sep 19; 2018.
[8]	Parker RA, Menias CO, Quazi R, Hara AK, Verma S, Shaaban A, et al. MR Imaging of the Penis and Scrotum. Radiogr Rev Publ Radiol Soc N Am Inc. 2015 Aug; 35 (4): 1033–50.
[9]	Singh V, Sinha RJ, Sankhwar SN. Penile gangrene: A devastating and lethal entity. Saudi J Kidney Dis Transplant. 2011 Mar 1; 22 (2): 359.
[10]	Obi AO. Isolated Fournier’s gangrene of the penis. Niger J Clin Pract. 2016 Jun; 19 (3): 426–30.
[11]	Weiner DM, Lowe FC. Surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis. J Urol. 1996 Mar; 155 (3): 926–9.
[12]	Vijayan P. Gangrene of the penis in a diabetic male with multiple amputations and follow up. Indian J Urol. 2009 Jan 1; 25 (1): 123.

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APA Style

Tfeil Yahya, Mohamed Mahmoud Beya, Mohamed Elbchir Essalem. (2022). Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report. World Journal of Medical Case Reports, 3(3), 43-45. https://doi.org/10.11648/j.wjmcr.20220303.12

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ACS Style

Tfeil Yahya; Mohamed Mahmoud Beya; Mohamed Elbchir Essalem. Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report. World J. Med. Case Rep. 2022, 3(3), 43-45. doi: 10.11648/j.wjmcr.20220303.12

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AMA Style

Tfeil Yahya, Mohamed Mahmoud Beya, Mohamed Elbchir Essalem. Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report. World J Med Case Rep. 2022;3(3):43-45. doi: 10.11648/j.wjmcr.20220303.12

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@article{10.11648/j.wjmcr.20220303.12,
  author = {Tfeil Yahya and Mohamed Mahmoud Beya and Mohamed Elbchir Essalem},
  title = {Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report},
  journal = {World Journal of Medical Case Reports},
  volume = {3},
  number = {3},
  pages = {43-45},
  doi = {10.11648/j.wjmcr.20220303.12},
  url = {https://doi.org/10.11648/j.wjmcr.20220303.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20220303.12},
  abstract = {Gangrene of the glans penis is a rare but serious condition because of rich collateral circulation and blood flow in the perineum and lower abdomen. The etiologies are diverse, with mainly predisposing factors of diabetes mellitus, artritis and chronic renal failure. We report the case of a 64-year-old diabetic patient with chronic smoking who presented to the emergency room of the nearest hospital for acute urinary retention which required the placement of an indwelling catheter, the patient developed severe penile pain after the placement of an indwelling catheter which was neglected by the care giver, four days later the patient presented again to the emergency room, but this time with severe supra pubic pain and necrosis of the glans, the patient was hospitalized and brad spectrum antibiotic was administered and he prepared for surgical treatment and had undergone a partial amputation of the penis after suprapubic urinary diversion. The evolution was marked by the installation of a stenosis of the urethral orifice which required repeated dilation, and the Histological examination of the specimen revealed no pathology other than severe necrosis, Indwelling catheter is frequently used to manage male urinary retention, but it should not be used carelessly or overlooked as it can cause severe complications such as penile gangrene.},
 year = {2022}
}

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TY  - JOUR
T1  - Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report
AU  - Tfeil Yahya
AU  - Mohamed Mahmoud Beya
AU  - Mohamed Elbchir Essalem
Y1  - 2022/07/29
PY  - 2022
N1  - https://doi.org/10.11648/j.wjmcr.20220303.12
DO  - 10.11648/j.wjmcr.20220303.12
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 43
EP  - 45
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20220303.12
AB  - Gangrene of the glans penis is a rare but serious condition because of rich collateral circulation and blood flow in the perineum and lower abdomen. The etiologies are diverse, with mainly predisposing factors of diabetes mellitus, artritis and chronic renal failure. We report the case of a 64-year-old diabetic patient with chronic smoking who presented to the emergency room of the nearest hospital for acute urinary retention which required the placement of an indwelling catheter, the patient developed severe penile pain after the placement of an indwelling catheter which was neglected by the care giver, four days later the patient presented again to the emergency room, but this time with severe supra pubic pain and necrosis of the glans, the patient was hospitalized and brad spectrum antibiotic was administered and he prepared for surgical treatment and had undergone a partial amputation of the penis after suprapubic urinary diversion. The evolution was marked by the installation of a stenosis of the urethral orifice which required repeated dilation, and the Histological examination of the specimen revealed no pathology other than severe necrosis, Indwelling catheter is frequently used to manage male urinary retention, but it should not be used carelessly or overlooked as it can cause severe complications such as penile gangrene.
VL  - 3
IS  - 3
ER  -

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Author Information

Tfeil Yahya

Department of Urology, Faculty of Medicine, Aasriya University, Nouakchott, Mauritania
Mohamed Mahmoud Beya

Department of Urology, Cheikh Zayed Hospital, Nouakchott, Mauritania
Mohamed Elbchir Essalem

Department of Urology, Cheikh Zayed Hospital, Nouakchott, Mauritania

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APA Style

Tfeil Yahya, Mohamed Mahmoud Beya, Mohamed Elbchir Essalem. (2022). Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report. World Journal of Medical Case Reports, 3(3), 43-45. https://doi.org/10.11648/j.wjmcr.20220303.12

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ACS Style

Tfeil Yahya; Mohamed Mahmoud Beya; Mohamed Elbchir Essalem. Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report. World J. Med. Case Rep. 2022, 3(3), 43-45. doi: 10.11648/j.wjmcr.20220303.12

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AMA Style

Tfeil Yahya, Mohamed Mahmoud Beya, Mohamed Elbchir Essalem. Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report. World J Med Case Rep. 2022;3(3):43-45. doi: 10.11648/j.wjmcr.20220303.12

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@article{10.11648/j.wjmcr.20220303.12,
  author = {Tfeil Yahya and Mohamed Mahmoud Beya and Mohamed Elbchir Essalem},
  title = {Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report},
  journal = {World Journal of Medical Case Reports},
  volume = {3},
  number = {3},
  pages = {43-45},
  doi = {10.11648/j.wjmcr.20220303.12},
  url = {https://doi.org/10.11648/j.wjmcr.20220303.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20220303.12},
  abstract = {Gangrene of the glans penis is a rare but serious condition because of rich collateral circulation and blood flow in the perineum and lower abdomen. The etiologies are diverse, with mainly predisposing factors of diabetes mellitus, artritis and chronic renal failure. We report the case of a 64-year-old diabetic patient with chronic smoking who presented to the emergency room of the nearest hospital for acute urinary retention which required the placement of an indwelling catheter, the patient developed severe penile pain after the placement of an indwelling catheter which was neglected by the care giver, four days later the patient presented again to the emergency room, but this time with severe supra pubic pain and necrosis of the glans, the patient was hospitalized and brad spectrum antibiotic was administered and he prepared for surgical treatment and had undergone a partial amputation of the penis after suprapubic urinary diversion. The evolution was marked by the installation of a stenosis of the urethral orifice which required repeated dilation, and the Histological examination of the specimen revealed no pathology other than severe necrosis, Indwelling catheter is frequently used to manage male urinary retention, but it should not be used carelessly or overlooked as it can cause severe complications such as penile gangrene.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Isolated Ischimic Gangrene of the Glans Penis Post Cathiterization in a Diabetic Patient: A Case Report
AU  - Tfeil Yahya
AU  - Mohamed Mahmoud Beya
AU  - Mohamed Elbchir Essalem
Y1  - 2022/07/29
PY  - 2022
N1  - https://doi.org/10.11648/j.wjmcr.20220303.12
DO  - 10.11648/j.wjmcr.20220303.12
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 43
EP  - 45
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20220303.12
AB  - Gangrene of the glans penis is a rare but serious condition because of rich collateral circulation and blood flow in the perineum and lower abdomen. The etiologies are diverse, with mainly predisposing factors of diabetes mellitus, artritis and chronic renal failure. We report the case of a 64-year-old diabetic patient with chronic smoking who presented to the emergency room of the nearest hospital for acute urinary retention which required the placement of an indwelling catheter, the patient developed severe penile pain after the placement of an indwelling catheter which was neglected by the care giver, four days later the patient presented again to the emergency room, but this time with severe supra pubic pain and necrosis of the glans, the patient was hospitalized and brad spectrum antibiotic was administered and he prepared for surgical treatment and had undergone a partial amputation of the penis after suprapubic urinary diversion. The evolution was marked by the installation of a stenosis of the urethral orifice which required repeated dilation, and the Histological examination of the specimen revealed no pathology other than severe necrosis, Indwelling catheter is frequently used to manage male urinary retention, but it should not be used carelessly or overlooked as it can cause severe complications such as penile gangrene.
VL  - 3
IS  - 3
ER  -

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