Dry Gangrene of the Foreskin after Second Attempt at Prepuce-Sparing Surgery for Congenital Penile Curvature: Case Report and Literature Review

Authors


Sudhanshu Chitale, DNB(Urol), FEBU, FRCS(Urol), Department of Urology, Norfolk & Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK. Tel: 00441603286776; Fax: 00441603287884; E-mail: chitalenorwich@aol.com

ABSTRACT

Introduction.  Dry gangrene of the foreskin following corrective surgery for congenital penile curvature (CPC) or Peyronie's disease is extremely rare. It is noted as a consequence of intraoperative penile degloving.

Aim.  We report one such case with its natural history presented by serial clinical pictures, discuss the management dilemmas, and review a rather scant relevant literature.

Methods.  A 32-year-old man with CPC underwent prepuce-sparing corrective surgery for penile curvature on two occasions resulting in dry gangrene of the foreskin following the second attempt.

Results.  It was managed conservatively with a satisfactory result.

Conclusion.  Gangrene of the foreskin is most likely to occur as a complication after a second attempt at prepuce-sparing surgery. It can be managed nonsurgically with a satisfactory outcome. Chitale S, and Sethia K. Dry gangrene of the foreskin after second attempt at prepuce-sparing surgery for congenital penile curvature: Case report and literature review. J Sex Med **;**:**–**.

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