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Revista mexicana de urología
On-line version ISSN 2007-4085Print version ISSN 0185-4542
Abstract
BONIS, Walter Osvaldo De et al. Necrosis of the glans penis after penile prosthesis implantation. Rev. mex. urol. [online]. 2018, vol.78, n.6, pp.447-451. Epub July 02, 2021. ISSN 2007-4085. https://doi.org/10.24245/revmexurol.v78i6.2416.
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.