Penile gangrene following penile bandaging for uncontrollable bleeding benign prostatic hyperplasia: Case report and review of literature

Abstract

Background: Benign Prostatic Hyperplasia (BPH) is one of the commonestailmentsaffecting many elderly men. Frequently, affected patients present with  lower urinary tract symptoms and complications such as urinary retentionand haematuria. Haematuria complicating BPH can be very daunting and  challenging to manage, making the surgeon to sometimes employ some unconventional and unorthodox methods when all management protocols in  his armamentarium are exhausted. The complications resulting from these unconventional methods of managing bleeding BPH may be costly with high  morbidity and mortality. Penile gangrene a generally rare entity has not been reported as a complication of these unorthodox methods of managing  bleeding BPH.

Case report: Here, we present the case of a 62-year-old man who had his penis bandaged and suspended for two years following an episode of  uncontrollable haematuria following a two-day penile bandage for uncontrollable bleeding BPH in the accident and emergency unit of a tertiary health  facility. He subsequently developed penile gangrene necessitating his presentation to our facility after discharging against medical advice. He eventually  had suprapubic cystostomy and control of haematuria. Subsequently, he had prostatectomy and penile skin grafting.

Conclusion:This case report emphasizes the challenges of managing bleeding BPHand the dangers of employing unconventional and unorthodox  treatment protocol in the management of bleeding BPH.