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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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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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Tu LH, Spektor M, Ferrante M, Mathur M. MRI of the Penis: Indications, Anatomy, and Pathology. Curr Probl Diagn Radiol 2019; 49:54-63. [PMID: 30704768 DOI: 10.1067/j.cpradiol.2018.12.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Revised: 12/03/2018] [Accepted: 12/05/2018] [Indexed: 11/22/2022]
Abstract
The purpose of this review is to discuss the role of magnetic resonance imaging (MRI) in the evaluation of penile pathology. Normal penile anatomy as well as the appearance of neoplastic and non-neoplastic entities on MRI will be reviewed. While ultrasound remains the first line imaging modality in evaluating most penile pathology, MR imaging has specific advantages owing to improved soft tissue resolution, ability to evaluate less accessible or complex anatomy (such as at the base of the penis), and the ability to detect subtle enhancement. Therefore, MRI is useful for when ultrasound and/or clinical findings are equivocal or incongruent. In addition, MR imaging is essential for preoperative surgical planning and is the imaging modality of choice in evaluating penile prostheses. The added value of MRI in these settings makes it an integral component to the management of many pathological entities affecting the penis.
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Affiliation(s)
- Long H Tu
- Department of Radiology & Biomedical Imaging, Yale University School of Medicine, New Haven, CT.
| | - Mike Spektor
- Department of Radiology & Biomedical Imaging, Yale University School of Medicine, New Haven, CT
| | - Marc Ferrante
- Department of Radiology & Biomedical Imaging, Yale University School of Medicine, New Haven, CT
| | - Mahan Mathur
- Department of Radiology & Biomedical Imaging, Yale University School of Medicine, New Haven, CT
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Surgical Intervention for Penile Methamphetamine Injections. Case Rep Urol 2015; 2015:467683. [PMID: 26451272 PMCID: PMC4586958 DOI: 10.1155/2015/467683] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Accepted: 09/03/2015] [Indexed: 11/17/2022] Open
Abstract
Methamphetamine is a central nervous system stimulant and is the second most commonly used illicit drug after cannabis. Methamphetamine use for sexual pleasure is well documented. In this case report, we describe two cases presenting to our urban county hospital associated with complications related to penile injection of methamphetamine. Both patients developed penile abscesses and required urgent surgical incision and drainage. Penile abscesses represent a rare complication associated with IV drug administration into the penile corpora. Resultant penile abscesses require broad-spectrum antibiotics and surgical drainage. Further understanding of methamphetamine abuse along with the role it plays in sexual enhancement would be an invaluable addition to understanding of the rationale behind this self-administered stimulant. Drainage of penile abscesses associated with IV drug users may be hazardous to healthcare providers who are at risk from a needle stick injury.
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Tüzel E. Spontaneous corpus cavernosum abscess in a healthy man using long-term androgenic anabolic steroids. World J Mens Health 2015; 33:36-8. [PMID: 25927061 PMCID: PMC4412006 DOI: 10.5534/wjmh.2015.33.1.36] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Revised: 10/20/2014] [Accepted: 10/25/2014] [Indexed: 11/17/2022] Open
Abstract
Abscess formation of the corpus cavernosum is very rare. Here, we report a case of long-term anabolic androgenic steroid (AAS) abuse that is suspected to have facilitated the development of a corpus cavernosum abscess in a healthy bodybuilder. Cultures obtained from the abscess contained Staphylococcus epidermidis, a microorganism that almost exclusively affects immunocompromised patients. Therefore, prompt drainage of pus from cavernosal bodies should be the primary aim of the treatment. This case illustrates the potential danger of AAS suppressing the immune system and causing a serious infection.
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Affiliation(s)
- Emre Tüzel
- Department of Urology, Baskent University Zübeyde Hanim Practice and Research Center, Izmir, Turkey
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Bantis A, Sountoulides P, Kalaitzis C, Deftereos S. Conservative Management of Penile Trauma May Be Complicated by Abscess Formation. Clin Pract 2014; 4:648. [PMID: 25568766 PMCID: PMC4274484 DOI: 10.4081/cp.2014.648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Revised: 09/02/2014] [Accepted: 09/10/2014] [Indexed: 11/22/2022] Open
Abstract
Blunt penile trauma during sexual activity, although highly underreported due to the associated patient embarrassment, constitutes a real urological emergency requiring immediate attention and possibly early surgical intervention. We report a case of a 58-year old man who presented with penile pain following excessive masturbation. Although there were no clinical signs of penile deformity or hematoma, magnetic resonance imaging revealed the presence of a rupture in the tunica albuginea. The patient opted for non-surgical management and his recovery period was complicated by the formation of an abscess at the site of the albugineal tear thus prolonging his hospital stay. The abscess was surgically drained and the patient reports to have normal erections at 3-month follow up.
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Garcia C, Winter M, Chalasani V, Dean T. Penile Abscess: A Case Report and Review of Literature. Urol Case Rep 2014; 2:17-9. [PMID: 26955536 PMCID: PMC4733001 DOI: 10.1016/j.eucr.2013.12.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2013] [Accepted: 12/03/2013] [Indexed: 11/19/2022] Open
Abstract
A case of penile abscess after amphetamine injection into the penis is reported. A 45-year-old male patient was successfully treated with surgical drainage and antibiotics. There were no 3-month consequences of treatment at follow-up, and the patient maintained potency, without any penile deformity. The aetiology, diagnosis, and management of penile abscesses are discussed.
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Affiliation(s)
- Cindy Garcia
- Department of Urology, Hornsby Ku-Ring-Gai Hospital, NSW, Australia
- Corresponding author. Tel.: +61-2-9477-9123
| | - Matthew Winter
- Department of Urology, Hornsby Ku-Ring-Gai Hospital, NSW, Australia
| | - Venu Chalasani
- Department of Urology, Hornsby Ku-Ring-Gai Hospital, NSW, Australia
- University of Sydney, NSW, Australia
| | - Thomas Dean
- Department of Urology, Hornsby Ku-Ring-Gai Hospital, NSW, Australia
- Department of Urology, Sydney Adventist Hospital, NSW, Australia
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