Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition
Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we des...
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doaj-459ef84551404e398a34b086122fd22f2020-11-24T22:02:00ZengElsevierUrology Case Reports2214-44202017-07-0113C11311610.1016/j.eucr.2017.03.008Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging ConditionRebecca A. Campbell0Laith M. Alzweri1Nikolai A. Sopko2Katarzyna J. Macura3Arthur L. Burnett4Case Western Reserve University School of Medicine, 11100 Euclid Ave, Cleveland, OH 44106, USAThe James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USAThe James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USAThe James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USAThe James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USAPenile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient with protracted resolution of dry gangrene of the glans, which failed conservative management of wound care and pain management. Radiological studies revealed extensive calcification of abdominal aorta and branching vessels including the penile arteries. Due to intolerable pain, the patient required total penectomy. Earlier surgical intervention guided by findings on radiological studies may improve quality of life in this population.http://www.sciencedirect.com/science/article/pii/S2214442017300190Penile calciphylaxisPenile gangrenePenile necrosisPenectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rebecca A. Campbell Laith M. Alzweri Nikolai A. Sopko Katarzyna J. Macura Arthur L. Burnett |
spellingShingle |
Rebecca A. Campbell Laith M. Alzweri Nikolai A. Sopko Katarzyna J. Macura Arthur L. Burnett Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition Urology Case Reports Penile calciphylaxis Penile gangrene Penile necrosis Penectomy |
author_facet |
Rebecca A. Campbell Laith M. Alzweri Nikolai A. Sopko Katarzyna J. Macura Arthur L. Burnett |
author_sort |
Rebecca A. Campbell |
title |
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition |
title_short |
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition |
title_full |
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition |
title_fullStr |
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition |
title_full_unstemmed |
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition |
title_sort |
penile calciphylaxis: the use of radiological investigations in the management of a rare and challenging condition |
publisher |
Elsevier |
series |
Urology Case Reports |
issn |
2214-4420 |
publishDate |
2017-07-01 |
description |
Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient with protracted resolution of dry gangrene of the glans, which failed conservative management of wound care and pain management. Radiological studies revealed extensive calcification of abdominal aorta and branching vessels including the penile arteries. Due to intolerable pain, the patient required total penectomy. Earlier surgical intervention guided by findings on radiological studies may improve quality of life in this population. |
topic |
Penile calciphylaxis Penile gangrene Penile necrosis Penectomy |
url |
http://www.sciencedirect.com/science/article/pii/S2214442017300190 |
work_keys_str_mv |
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