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Penile Glans Necrosis Developing after Internal Pudendal Arterial Embolization: A Case Report
Tae Nam Kim1, Chan Ho Lee1, Seung Ryong Baek1
1Department of Urology, Pusan National University School of Medicine, Busan, South Korea.
Urology Journal
|December 27, 2017
Summary
Penile glans necrosis after internal pudendal artery embolization is rare. This case report details successful treatment using alprostadil, pentoxifylline, and tadalafil.
Area of Science:
- Urology
- Vascular Surgery
- Interventional Radiology
Background:
- Internal pudendal artery embolization is a treatment for conditions like urethral bleeding.
- Complications such as penile ischemia are exceptionally rare following this procedure.
Observation:
- A 53-year-old male presented with massive urethral bleeding due to an internal pudendal artery-urethral fistula.
- Selective embolization of the internal pudendal artery was performed to treat the fistula.
- The patient unexpectedly developed ischemic necrosis of the penile glans post-embolization.
Findings:
- Successful management of post-embolization penile glans ischemic necrosis was achieved.
- Treatment involved a combination of intravenous alprostadil, oral pentoxifylline, and tadalafil.
Implications:
- This case highlights a rare but serious complication of internal pudendal artery embolization.
- The reported treatment regimen offers a potential therapeutic approach for similar cases.
- Further research may be warranted to understand and prevent this complication.
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