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Corpus cavernosum abscess: A case report.

Alexandre Kyoshi Hidaka1, Renan Murata Hayashi1, Gabriel Chahade Sibanto Simões2

  • 1Urology Department, Centro Universitário FMABC, Santo André, São Paulo, Brazil.

Urology Case Reports
|June 1, 2022
PubMed
Summary

Corpus cavernosum abscess, a rare genitourinary infection, can occur after ischemic priapism treatment. This case highlights successful management with the Al-Ghorab procedure and antibiotics, despite initial erectile dysfunction.

Keywords:
Corpus cavernosum abscessPenile diseasePriapismUrology

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Area of Science:

  • Urology
  • Infectious Diseases
  • Genitourinary Medicine

Background:

  • Corpus cavernosum abscess is an uncommon but serious genitourinary tract infection.
  • Prompt diagnosis and management are crucial to prevent complications.

Observation:

  • A 42-year-old male presented with penile shaft pain and edema 24 days post-drainage of a cavernous body abscess following ischemic priapism.
  • The patient had undergone a puncture drainage for ischemic priapism prior to the abscess development.

Findings:

  • The patient was treated with the Al-Ghorab procedure, snake-maneuver, and broad-spectrum antibiotics.
  • Successful resolution of the abscess was achieved, with no penile deviations observed post-treatment.

Implications:

  • This case underscores the importance of recognizing and managing corpus cavernosum abscesses, even after initial priapism treatment.
  • The described therapeutic approach may offer a viable strategy for similar rare clinical scenarios.
  • Further research into the long-term outcomes, including erectile function, is warranted.