Ischemic glans penis after circumcision.
A 33-year-old male receiving dorsal penile nerve block (DPNB) for circumcision exhibited a postoperative ischemic change over the glans penis. The event occurred nearly 24 hours after the procedure. The patient was treated with intravenous pentoxifyllin and hyperbaric oxygenation. Total reverse of the ischemia was observed. The complications associated with circumcision and DPNB were reviewed and discussed.
Tzeng
Yuan-Sheng
YS
Division of Urology, Department of Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road (Sec. 2), Nei-Hu 114, Taipei, China. sheng@banhome.com
Tang
Shou-Hung
SH
Meng
En
E
Lin
Teng-Fu
TF
Sun
Guang-Huan
GH
D000328:Adult; D002944:Circumcision, Male / Q000009:adverse effects*; D006801:Humans; D007239:Infections / Q000209:etiology / Q000473:pathology; D007511:Ischemia / Q000209:etiology* / Q000473:pathology; D008297:Male; D009407:Nerve Block / Q000009:adverse effects; D010413:Penis / Q000098:blood supply* / Q000473:pathology; D010431:Pentoxifylline / Q000494:pharmacology; D014665:Vasodilator Agents / Q000494:pharmacology
D014665:Vasodilator Agents; D010431:Pentoxifylline