title: Dry gangrene of the foreskin after second attempt at prepuce-sparing surgery for congenital penile curvature: case report and literature review.
abstract: BACKGROUND
  Dry gangrene of the foreskin following corrective surgery for congenital penile curvature (CPC) or Peyronie's disease is extremely rare. It is noted as a consequence of intraoperative penile degloving.
  
  
  OBJECTIVE
  We report one such case with its natural history presented by serial clinical pictures, discuss the management dilemmas, and review a rather scant relevant literature.
  
  
  METHODS
  A 32-year-old man with CPC underwent prepuce-sparing corrective surgery for penile curvature on two occasions resulting in dry gangrene of the foreskin following the second attempt.
  
  
  RESULTS
  It was managed conservatively with a satisfactory result.
  
  
  CONCLUSIONS
  Gangrene of the foreskin is most likely to occur as a complication after a second attempt at prepuce-sparing surgery. It can be managed nonsurgically with a satisfactory outcome.
authors.affiliation: Department of Urology, Norfolk & Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK. chitalenorwich@aol.com
authors.forename: Sudhanshu
authors.initials: S
authors.lastname: Chitale
authors.forename: Krishna
authors.initials: K
authors.lastname: Sethia
mesh_terms: D000328:Adult; D004008:Diclofenac / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005436:Floxacillin / Q000627:therapeutic use; D052816:Foreskin / Q000473:pathology*; D005734:Gangrene; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010411:Penile Induration / Q000601:surgery*; D010413:Penis / Q000002:abnormalities* / Q000098:blood supply / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy* / Q000473:pathology*; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation; D014680:Veins / Q000637:transplantation; D014945:Wound Healing / Q000187:drug effects
chemical_list: D004008:Diclofenac; D005436:Floxacillin