Case Report: Penile gangrene following cavernoglandular shunt for priapism: case report

Abstract

A 35-year-old man presented with priapism for 24 hours. Cavernoglandular shunt was performed under general anaesthesia. There was bleeding from the operation site necessitatig application of a pressure dressing. Penile skin developed, progressing from the glans to complete gangrene of the distal half of the penis. The patient had amputation of the gangrenous distal half of the penis, debridement of the skin necrosis of proximal half and skin grafting. Penile gangrene is a rare complication following cavernoglandular shunt for priapism and has been reported in all invasive treatment for priapism. Good intraoperative haemostasis, avoidance of urethral catheterisation, local infection and pressure dressing should prevent this complication.


Key words: Penis, gangrene, cavernoglandular shunt


Nig. J. of Surgical Research Vol.4(3-4) 2002: 112-114