Penile necrosis in a diabetic with renal disease and clean intermittent catheterization for recurrent urethral stricture. Case report.
In a patient with diabetic microangiopathy and renal disease, penile necrosis occurred in connection with clean intermittent catheterization. Microangiopathy of the urethral and penile arteries presumably lowered the local defences, so that the catheterization initiated penile necrotic changes by introducing bacteria and traumatizing the poorly vascularized urethral epithelium.
Cormio
L
L
Fourth Department of Surgery, Helsinki University Central Hospital, Finland.
Taskinen
S
S
Perttilä
I
I
Ruutu
M
M
D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003925:Diabetic Angiopathies / Q000473:pathology*; D003928:Diabetic Nephropathies / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010413:Penis / Q000473:pathology*; D012648:Self Care / Q000009:adverse effects; D014525:Urethral Stricture / Q000628:therapy*; D014546:Urinary Catheterization / Q000009:adverse effects*