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[Total penectomy for corpus cavernosum abscess: a case report]
Juntaro Koyama1, Shunichi Namiki1, Yoshihiro Kamiyama1
1The Department of Urology, Tohoku University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|April 29, 2015
Summary
Penile abscesses, a rare condition, can cause severe swelling and pain. This case highlights the need for prompt diagnosis and treatment, sometimes requiring surgical intervention like penectomy for extensive infections.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Corpus cavernosum abscess is a rare but serious penile infection.
- Early diagnosis and management are crucial for patient outcomes.
Observation:
- A 69-year-old male presented with gradual penile swelling.
- Pelvic MRI revealed abscess formation within the corpus cavernosum.
- No clear cause was identified from history or examination.
Findings:
- Initial open drainage provided only transient symptom relief.
- The abscess progressively involved the corpus cavernosum and spongiosum.
- Total penectomy was ultimately required due to extensive infection.
Implications:
- This case underscores the aggressive nature of some penile abscesses.
- Prompt and potentially aggressive surgical intervention may be necessary.
- Corpus cavernosum abscess requires thorough diagnostic evaluation and management.