[Penile calciphylaxis: 5-year experience and literature review].
BACKGROUND
Necrosis of the penis is a rare condition that may occur as a result of infectious dissemination, circulatory disorders, or even in patients with penile prostheses. It has been reported in a few patients on dialysis, usually associated with diabetes mellitus, cholesterol embolism, and calciphylaxis.


METHODS
Three patients with this condition seen at our hospital in the last 5 years are reported.


CONCLUSIONS
Calciphylaxis is a rare but often fatal condition occurring in approximately 1% of patients with chronic renal failure. It is characterized by calcification of subcutaneous arteries and infarction of the subcutaneous cellular tissue and overlying skin. It is associated to a high morbidity and mortality, and diagnosis is usually based on clinical signs and symptoms. Management is controversial, particularly with regard to surgery, which may range from penectomy to local care of lesion, debridement, or antibiotic therapy.
García Morúa
Alejandro
A
Servicio de Urología, Hospital Universitario Dr. José E. González, Monterrey, Nuevo León, México. agmorua@live.com.mx
Gutiérrez García
Jesús Domingo
JD
Arrambide Gutiérrez
José Gustavo
JG
Gómez Guerra
Lauro Salvador
LS
D002115:Calciphylaxis / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000175:diagnosis / Q000601:surgery