Novel Treatment for Glance Necrosis Due to Priapism; Presentation and Review of Literature Publisher Pubmed



Soleimani A¹ ; Nazarpour MJ² ; Akhavizadegan H²
Source: Urologia Journal Published:2023

Abstract

Introduction: Glans necrosis in association with priapism is very rare and its appropriate treatment is not known. There is a secondary cause in most cases. Case description: We treated a 65-year-old man with priapism and glans necrosis using a closed shunt (Winter), continuous penile irrigation with normal saline, and heparin for 48 h and waited for the necrotic area to resolve spontaneously. The treatment outcome was much better compared to previous cases in whom open surgery, irrigation with pure normal saline, and/or resection of the necrotic area were performed. Conclusion: In cases with priapism and glans ischemia, we recommend treating the condition with continuous covernose irrigation with heparinized saline and avoiding open surgery. © The Author(s) 2021.