Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition

Rebecca A. Campbell, Laith M. Alzweri, Nikolai A. Sopko, Katarzyna J. Macura, Arthur L. Burnett

Research output: Contribution to journalArticle

Abstract

Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients with hemodialysis-dependent end-stage renal failure. Multiple treatments have been proposed including conservative management, surgical debridement and penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient with protracted resolution of dry gangrene of the glans, which failed conservative management of wound care and pain management. Radiological studies revealed extensive calcification of abdominal aorta and branching vessels including the penile arteries. Due to intolerable pain, the patient required total penectomy. Earlier surgical intervention guided by findings on radiological studies may improve quality of life in this population.

Original languageEnglish (US)
Pages (from-to)113-116
Number of pages4
JournalUrology Case Reports
Volume13
DOIs
StatePublished - Jul 1 2017

Keywords

  • Penectomy
  • Penile calciphylaxis
  • Penile gangrene
  • Penile necrosis

ASJC Scopus subject areas

  • Urology

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