PMID: 8583609Mar 1, 1996Paper

Surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis

The Journal of Urology
D M Weiner, F C Lowe

Abstract

We determined whether early surgical intervention for ischemic penile gangrene in diabetics can be successful and limit morbidity. A retrospective review was done of 7 diabetic patients with ischemic penile gangrene. Three patients underwent early distal penectomy without complications. All 4 patients initially observed suffered liquefaction and progression from dry to wet gangrene, and 2 underwent surgery (subtotal penectomy in 1 and distal penectomy in 1 who required reoperations for wound complications). With appropriate patient selection, surgical intervention can be successful and provide a better quality of life for those without terminal disease. Delaying intervention will usually require more extensive surgery and increase the risk of wound complications. However, observation is indicated for moribund hospitalized patients.

References

Aug 1, 1992·Diabetes Care·S F WetterhallF Vinicor
Jan 1, 1991·The Australasian Journal of Dermatology·R Vasanthi, V Ramesh
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Citations

Aug 21, 2013·Case Reports in Urology·Borja García GómezAlfredo Rodríguez Antolín
Oct 3, 2014·Case Reports in Urology·Beneranda S Ford-GlantonSameer Siddiqui
Apr 15, 2000·Journal of Diabetes and Its Complications·Y KumbkarniP Dandona
Jun 21, 2008·The Journal of Sexual Medicine·I-Ni ChiangJu-Ton Hsieh
Jan 15, 2000·Scandinavian Journal of Urology and Nephrology·A KoşarK Doğruer
Jun 3, 2009·Ugeskrift for laeger·Mette Wanscher KjaerskovKnud Bonnet Yderstraede
Mar 24, 2005·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Hung-Wei LiaoYuh-Mou Sue
Dec 15, 2004·Urology·R GillitzerJ W Thüroff
Jun 10, 2000·The British Journal of Surgery·N Eke
Apr 2, 1998·British Journal of Urology·A S KibelS V Yalla
May 30, 2014·The World Journal of Men's Health·Sung Dae KimYoung-Joo Kim
Apr 11, 2003·The Journal of Urology·Constantine F Harris, Jack H Mydlo
Jun 20, 2007·Hemodialysis International·Mathew D SorensenJames K Kuan
Nov 3, 2007·Advances in Skin & Wound Care·Ronald A ShermanRonald M Yang
Apr 25, 2007·Scandinavian Journal of Urology and Nephrology·Jørgen Bjerggaard Jensen, Hans Jørgen Kirkeby

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