ABSTRACT
Penile gangrene is extremely rare. It spreads very rapidly to surrounding structures and have high mortality rate. Its etiology can be infectious, traumatic or vasculogenic. Precipitating factors can be elicited with careful history and examination. Its management depends upon clinical presentation, which includes serial debridement, partial or total penectomy and treatment of underlying pathology[1]. In the present case 75 year old mentally retarded male presented with an ulceration over urethra. Relatives gave history of foreign body insertion. On examination blackish discoloration of distal half of penis was seen. Penectomy was performed as an emergency operation. On histopathology it was reported as penile gangrene.
ABSTRACT
@#Penile calciphylaxis is a rare penile condition associated with end-stage renal disease and is found in 1-4% of hemodialysis patients. The condition has an overall mortality of 64%. Literature has yet to provide a gold standard for the management of this condition. The first case is a 58-year-old diabetic and hypertensive on hemodialysis who presented with ulcerating lesions on the penis. The patient underwent partial penectomy. The patient contracted pneumonia during recovery and expired 3 months after the procedure. The second case is a 56-year-old diabetic with end stage renal disease on dialysis who presented with dry gangrene of the penis. He underwent partial penectomy and was sent home after recovery.