Severe penile erosion after use of a vacuum suction device for management of erectile dysfunction in a spinal cord injured patient. Case report.
We report a case of severe erosion and cellulitis at the base of the penis as a result of vacuum suction device constriction bands left on for 4 hours in a spinal cord injured patient with paraplegia and hypesthesia of the genital area. All patients using vacuum suction devices need to be properly educated regarding usage and risks with adequate follow up; patients with hypesthesias and spinal cord injuries need information specifically related to their decreased or absent level of sensation. Only two out of seven vacuum suction device brochures reviewed warn of the risk to patients with decreased sensation in the penis, but none specifically address usage or risks to men with spinal cord injuries.
LeRoy
S C
SC
Department of Urologic Surgery, University of Minnesota Hospital and Clinic, Minneapolis 55455.
Pryor
J L
JL
D000328:Adult; D000527:Alprostadil / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000150:complications; D010353:Patient Education as Topic; D010409:Penile Diseases / Q000209:etiology / Q000628:therapy*; D010413:Penis / Q000293:injuries*; D013119:Spinal Cord Injuries / Q000150:complications*; D013396:Suction / Q000009:adverse effects / Q000295:instrumentation
D000527:Alprostadil