Glans amputation as a complication of Paraphimosis

• Main Author: Yoeli Antonio Duarte Arzuaga (Author)
• Format: Book
• Published: Archive of Urological Research - Peertechz Publications, 2020-05-15.
• Subjects: Case Report
• Online Access: Connect to this object online.

<p>Paraphimosis is an acute situation that emerges as a complication of a congenital or aquired phimosis. This requires an urgent treatment. It occurs when the glans foreskin is stenotic, retracts behind the glans and subsequently is not brought to its normal position. As a consequence it causes strangulation of the glans and the skin of the foreskin by the stenotic ring that can evolve to edema, necrosis and amputation of the glans. We present a rare and infrequent case of amputation of the glans as a complication of paraphimosis. This is a 91-year-old male patient with a history of ischemic cardiopathy, COPD and chronic paraphimosis who, since three weeks ago, presented with pain and increased penile volume. Five days before going to the consultation her daughter notes that he had black-purple glans coloration for which she decided to apply an antiseptic solution in the area. When seeing that the clinical picture continued to worsen, they decided to go to the urological guard service of the University Hospital "General Calixto Garcia". Physical examination revealed a necrotic glans without vitality and amputation. The proximal end to the healthy preputial ring without signs of ischemia or sepsis. The case constitutes a urological urgency that in most cases is resolved by simple manual reduction. Necrosis and amputation of the glans as a complication of paraphimosis is extremely rare. To date, few cases are described in the literature. The circumcision must be performed in every patient who has presented paraphimosis.</p>