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Penile gangrene due to improper application of a condom catheter: a case report

Kays Chaker1, Yassine Ouanes2, Makram Rinchi2

  • 1Department of Urology, La Rabta Hospital, Bab Saadoun, Tunis, Tunisia. chakerkays@gmail.com.

Journal of Medical Case Reports
|January 31, 2023
PubMed
Abstract

Insights

Condom catheters can cause penile gangrene, a severe infection, due to continuous tourniquet effect. Careful monitoring and hygiene are crucial to prevent this rare but serious complication.

Area of Science:

  • Urology
  • Infectious Diseases
  • Wound Care

Background:

  • Fournier's gangrene is a rare, necrotizing soft tissue infection.
  • It typically affects the perineum but can extend to the abdominal wall.

Observation:

  • An unusual case of penile gangrene occurred in a 64-year-old male with incontinence.
  • The gangrene resulted from a condom catheter's continuous tourniquet effect.
  • Despite debridement, antibiotics, and wound care, the patient succumbed to septic shock.

Findings:

  • Condom catheters, while useful for urinary incontinence, pose a risk of serious complications.
  • Penile gangrene is a potential, albeit rare, outcome of prolonged catheter use.
  • Aggressive treatment may not prevent fatal septic shock in severe cases.

Implications:

  • Healthcare providers must exercise caution when using condom catheters.
  • Regular monitoring of the penile area for signs of compromise is essential.
  • Strict adherence to hygiene protocols during catheter placement and maintenance is critical.
Keywords:
Condom catheterGangrenePenectomyPenis

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