[Total infarction of the penis caused by entrapment in a plastic bottle].
Penile strangulation injuries are rare emergency situations, but need a fast urological emergency management for decompression of the penis and for removing of the foreign bodies. Strangulation objects can be metallic or non-metallic objects and are usually used for erotic or autoerotic purposes, for masturbation or increasing erection. We report a case of a 62-year old male with a total infected gangrene of the penis caused by a strangulation of a plastic bottle neck which continued 14 days. A total amputation of the penis was necessary. A perineal urethrostomy was performed as definitive urine diversion. Bacteriologic examination has identified Proteus mirabilis. Thus, a systemic antibiotic therapy was perioperatively applicated. The further course was uneventful with a secondary healing wound.
Maruschke
M
M
Klinik und Poliklinik für Urologie, Universität Rostock, Rostock. matthias.maruschke@med.uni-rostock.de
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D003251:Constriction, Pathologic / Q000209:etiology; D004630:Emergencies; D005734:Gangrene / Q000601:surgery; D006801:Humans; D007238:Infarction / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010413:Penis / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D010502:Perineum / Q000601:surgery; D013575:Syncope / Q000209:etiology; D014521:Urethra / Q000601:surgery