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Necrosis of the penis with multiple vessel atherosclerosis
Sung Dae Kim1, Jung Sik Huh1, Young-Joo Kim1
1Department of Urology, Jeju National University School of Medicine, Jeju, Korea.
Abstract:
Penile necrosis is a very rare complication because of its rich collateral supply. Conservative management is apt to be ineffective; thus penectomy is usually performed. We present a case of penile necrosis and claudication of both legs with multiple atherosclerosis in a type II diabetes mellitus patient who was successfully treated with angioplasty, penoplasty, and additional intracavernous injections of prostaglandin E1. The treatment resulted in relief of the leg pain and healing of the penile ischemic lesions.
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