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Novel Treatment for Glance Necrosis Due to Priapism; Presentation and Review of Literature Publisher Pubmed



Soleimani A1 ; Nazarpour MJ2 ; Akhavizadegan H2
Authors
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Authors Affiliations
  1. 1. Department of Cardiology, Sina Hospital, Tehran University of Medical sciences, Tehran, Iran
  2. 2. Department of Urology, Sina Hospital, Tehran University of Medical sciences, Tehran, Iran

Source: Urologia Journal Published:2023


Abstract

Introduction: Glans necrosis in association with priapism is very rare and its appropriate treatment is not known. There is a secondary cause in most cases. Case description: We treated a 65-year-old man with priapism and glans necrosis using a closed shunt (Winter), continuous penile irrigation with normal saline, and heparin for 48 h and waited for the necrotic area to resolve spontaneously. The treatment outcome was much better compared to previous cases in whom open surgery, irrigation with pure normal saline, and/or resection of the necrotic area were performed. Conclusion: In cases with priapism and glans ischemia, we recommend treating the condition with continuous covernose irrigation with heparinized saline and avoiding open surgery. © The Author(s) 2021.