Penile calciphylaxis-a complicated case managed with circumcision and glansectomy.

Area of Science:

• Nephrology
• Vascular Medicine
• Dermatology

Background:

• Penile calciphylaxis is a rare and severe manifestation of calcifying uremic arteriolopathy.
• It primarily affects patients with end-stage renal failure (ESRF).
• The condition involves calcification of small penile vessels, leading to ischemic skin changes and significant pain.

Observation:

• A case of penile calciphylaxis in an ESRF patient presented with a necrotic glans penis and persistent pain.
• Initial conservative management proved insufficient.
• The patient underwent surgical intervention, including circumcision and glansectomy.

Findings:

• Surgical management, specifically glansectomy, was effective in treating the necrotic penile tissue and resolving pain.
• The patient avoided a more extensive procedure, such as a partial penectomy.
• Complete recovery was achieved following the surgical intervention.

Implications:

• This case highlights the potential benefit of surgical intervention in managing complex penile calciphylaxis.
• Aggressive management may prevent the need for partial penectomy in select cases.
• Further research into optimal treatment strategies for penile calciphylaxis is warranted.