title: Severe gangrene at the glans penis requiring penectomy as the first major complication of Buerger's disease.
abstract: We report an interesting case of Buerger's disease that manifested at the glans penis in a 56 year-old former smoker. Penile involvement in Buerger's disease is rare. Our patient had no prior extremity or digit amputations in his 4-year history of Buerger's disease. However, our patient did suffer from recurrent penile ulcers over an 8-week timeframe that ultimately progressed to a gangrenous, unsalvageable glans penis. He underwent a partial penectomy and urethral reconstruction with excellent post-operative results.
authors.affiliation: Department of Urology, University of Massachusetts Medical School Worcester, MA 01605, USA.
authors.forename: Khanh N
authors.initials: KN
authors.lastname: Pham
authors.affiliation: Department of Urology, University of Massachusetts Medical School Worcester, MA 01605, USA.
authors.forename: Mitchell H
authors.initials: MH
authors.lastname: Sokoloff
authors.affiliation: Department of Urology, University of Massachusetts Medical School Worcester, MA 01605, USA.
authors.forename: Charles A
authors.initials: CA
authors.lastname: Steiger
keywords: Buerger’s disease; glans penis; penectomy; penile involvement; urethral reconstruction