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[Abscess of corpus cavernosum: a case report]
Hinyokika Kiyo. Acta Urologica Japonica
|February 24, 1999
Summary
A penile abscess in a 72-year-old man led to a complex fistula requiring surgical intervention and eventual lower leg amputation due to arteriosclerosis obliterans. This rare case highlights severe complications of penile infections.
Area of Science:
- Urology
- Vascular Surgery
- Infectious Diseases
Background:
- Penile masses can indicate serious underlying conditions, including abscess formation within the corpus cavernosum.
- Prompt diagnosis and management are crucial to prevent complications such as fistula formation and tissue necrosis.
Observation:
- A 72-year-old male presented with a penile mass, diagnosed as a corpus cavernosum abscess.
- Despite antibiotic therapy, the abscess ruptured, forming a complex dorso-caverno-urethral fistula.
- The patient subsequently developed critical limb ischemia due to arteriosclerosis obliterans.
Findings:
- Conservative management successfully closed the fistula after cystostomy formation.
- The patient required a below-knee amputation due to severe peripheral artery disease.
- This represents the seventh reported case of such a complication in Japan.
Implications:
- Penile abscesses, though rare, can lead to severe local and systemic complications, including vascular compromise.
- Multidisciplinary management involving urology, infectious diseases, and vascular surgery may be necessary.
- Early recognition and aggressive treatment are vital to improve patient outcomes and prevent limb loss.