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Yuan Y, Meng L, Wang R, Zhang Z, Yang J, Zhang X, Xu J, Meng Y, Zhang W, Liu C. Ultrasound-guided puncture and drainage for penile abscess: Case report and review of the literature. Radiol Case Rep 2023; 18:1796-1808. [PMID: 36915609 PMCID: PMC10006720 DOI: 10.1016/j.radcr.2023.01.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 01/25/2023] [Accepted: 01/28/2023] [Indexed: 03/06/2023] Open
Abstract
A subcutaneous abscess of the penis is a rare condition. It can be idiopathic or have an underlying cause, such as intracavernous injection therapy, foreign body, dilated perineal abscess, abnormal erection, or trauma. Clinical signs are mainly swelling in the penis, penile pain, and swelling. Conventional treatment is primarily surgical incision and drainage, followed by systemic antibiotic therapy. In recent years, with the development of medical technology, minimally invasive interventions and less invasive techniques, such as ultrasound-guided aspiration, are being developed. This article aims to report a case of ultrasound-guided successful diagnosis and treatment of an aseptic idiopathic subcutaneous abscess at the root of the penis and to review the literature on penile abscesses. The patient, a 61-year-old male, underwent ultrasound-guided puncture and drainage using a coaxial aspiration/flushing technique in combination with antibiotics to treat this rare urinary tract condition. The patient recovered well postoperatively and was discharged 3 days later. At a 2-week postoperative follow-up, an ultrasound showed a marked reduction in the penile abscess mass.
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Affiliation(s)
- Yinuo Yuan
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Lei Meng
- School of Medical Imaging, Weifang Medical College, Weifang, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Ruixian Wang
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Zhiyang Zhang
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Jihua Yang
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Xiaolong Zhang
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Jianglei Xu
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Yao Meng
- Shandong First Medical University, Jinan, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Wenjing Zhang
- School of Medical Imaging, Weifang Medical College, Weifang, China.,Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
| | - Cun Liu
- Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China
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Wang H, Dhar A, Wang A. Corpora cavernosum abscess and corporoglanular fistula following penile shunts for ischemic priapism. Urol Case Rep 2023; 47:102341. [PMID: 36860418 PMCID: PMC9969299 DOI: 10.1016/j.eucr.2023.102341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Revised: 01/22/2023] [Accepted: 02/01/2023] [Indexed: 02/04/2023] Open
Abstract
Ischemic priapism is a urologic emergency requiring urgent intervention to prevent tissue necrosis and preserve erectile function. Cases refractory to aspiration and intra-cavernosal sympathomimetic therapy requires timely surgical shunting. Corpus cavernosum abscess following penile shunts is an exceedingly rare complication, with as few as 2 previous reported cases. We report our experience and outcome in the case of a 50-year-old patient who developed a corpora cavernosum abscess and concurrent corporoglanular fistula, following penile shunt procedures for ischemic priapism.
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Affiliation(s)
- Henry Wang
- Urology Department, Westmead Hospital, Westmead, 2145, NSW, Australia,Corresponding author.
| | - Ankur Dhar
- Urology Department, Westmead Hospital, Westmead, 2145, NSW, Australia
| | - Audrey Wang
- Urology Department, Westmead Hospital, Westmead, 2145, NSW, Australia,Westmead Clinical School, The University of Sydney, Sydney, Australia
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Akagi Y, Yamagiwa Y, Shirai H, Suzuki T, Tsuru I, Ishikawa A, Akiyama N, Ogura M, Kobayashi K, Bae Y, Suemitsu Y, Imakado S, Mawatari M, Ueda A. Aseptic Cavernosal Abscess: An Unrecognized Feature of Neutrophilic Dermatosis. Intern Med 2022; 61:917-921. [PMID: 34483210 PMCID: PMC8987252 DOI: 10.2169/internalmedicine.7994-21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
A 50-year-old man developed a sterile cavernosal abscess followed by prominent features of necrotizing neutrophilic dermatosis. We conducted a literature review, which revealed that aseptic abscesses in the corpus cavernosum occur in association with neutrophilic dermatosis. Patients with this condition frequently receive unnecessary antibiotic treatment and surgical interventions. Although this condition responds to systemic corticosteroids, the functional prognosis of the penis is poor. Abscess formation may be the initial presentation of neutrophilic dermatoses, and underlying conditions may even be absent. Clinicians need to be aware of this condition to distinguish it from bacterial infection and initiate early disease-specific treatments.
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Affiliation(s)
- Yu Akagi
- Department of Infectious Diseases, Japanese Red Cross Medical Center, Japan
| | - Yuri Yamagiwa
- Department of Allergology and Rheumatology, Japanese Red Cross Medical Center, Japan
| | - Harumi Shirai
- Department of Allergology and Rheumatology, Japanese Red Cross Medical Center, Japan
| | - Takeshi Suzuki
- Department of Allergology and Rheumatology, Japanese Red Cross Medical Center, Japan
| | - Ibuki Tsuru
- Department of Urology, Japanese Red Cross Medical Center, Japan
| | - Akira Ishikawa
- Department of Urology, Japanese Red Cross Medical Center, Japan
| | - Naoki Akiyama
- Department of Dermatology, Japanese Red Cross Medical Center, Japan
| | - Mizuki Ogura
- Department of Hematology, Japanese Red Cross Medical Center, Japan
| | - Kanae Kobayashi
- Department of Ophthalmology, Japanese Red Cross Medical Center, Japan
| | - Yuan Bae
- Department of Pathology, Japanese Red Cross Medical Center, Japan
| | - Yamato Suemitsu
- Department of Pathology, Japanese Red Cross Medical Center, Japan
| | - Sumihisa Imakado
- Department of Dermatology, Japanese Red Cross Medical Center, Japan
| | - Momoko Mawatari
- Department of Infectious Diseases, Japanese Red Cross Medical Center, Japan
| | - Akihiro Ueda
- Department of Infectious Diseases, Japanese Red Cross Medical Center, Japan
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Cotter F, Shi M, Sathianathen N, Thevarajah G, Cheng J, Gyomber D, Sundaralingam S, Satasivam P. Corpus cavernosum abscess complicating distal shunt procedures for priapism. JOURNAL OF CLINICAL UROLOGY 2022. [DOI: 10.1177/20514158211027424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abscess of the corpus cavernosum is a rare condition. We describe the case of a 36-year-old male presenting with bilateral corpus cavernousm abscesses, on a background of distal shunt procedures for recurrent priapism, that was managed with a bilateral corporotomy and systemic antibiotic therapy. Level of Evidence: Level 4
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Affiliation(s)
| | | | | | | | | | | | | | - Prassannah Satasivam
- The Northern Hospital, Australia
- Department of Medicine, The University of Melbourne, Parkville VIC, Australia
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Penile aseptic abscess in the cavernous body at the base of the penis: a case report. FRONTIERS OF NURSING 2021. [DOI: 10.2478/fon-2021-0010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract
We report a case of aseptic abscess in the cavernous body at the base of the penis. In our clinical observation, the patient underwent puncture and drainage of the corpus cavernosum abscess, followed by surgical resection of the abscess wall, with the incisions closed layer by layer with primary suture. In addition, we paid attention to strengthening the postoperative management by using elastic bandages to wrap the penis intermittently to prevent edema; the incision would not be covered with dressings from the third day after the operation, so as to keep the incision site dry in an open way. During the period of indwelling of the catheter after the operation, we noticed the care of the external orifice of the urethra to reduce the occurrence of catheter-related infections. Finally, the patient was diagnosed with a penile aseptic abscess in the cavernous body at the base of the penis. The patient recovered well after surgery and was discharged 1 week later. At 1.5 years after the operation, the shape of the penis returned to normal, and the erectile function was normal. It was seen that good nursing concept is of great help for prognosis, which could avoid infection and edema, and is conducive to wound healing.
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