Difference between revisions of "Ischemia of the glans penis"
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| − | '''Ischemia of the glans penis''' is a complication of circumcision.<ref>{{REFjournal | + | '''Ischemia of the glans penis''' is a not-so-rare [[iatrogenic]] complication of circumcision.<ref>{{REFjournal |
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==Disruption of blood circulation== | ==Disruption of blood circulation== | ||
Male circumcision frequently includes excision of the [[frenulum]], which carries the frenular artery.<ref>{{REFjournal | Male circumcision frequently includes excision of the [[frenulum]], which carries the frenular artery.<ref>{{REFjournal | ||
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| + | Migliorini et al. (2018) reported a case of ischemia of the glans penis after circumcision in a 24-year-old male. The patient was successfully treated with hyperbaric oxygen therapy in combination with pentoxifylline.<ref>{{REFjournal | ||
| + | |last=Migliorini | ||
| + | |first=Fillipo | ||
| + | |init= | ||
| + | |author-link= | ||
| + | |last2=Bianconi | ||
| + | |first2=Francesco | ||
| + | |init2= | ||
| + | |author2-link= | ||
| + | |last3=Bizzotto | ||
| + | |first3=Leonardo | ||
| + | |init3= | ||
| + | |author3-link= | ||
| + | |etal=yes | ||
| + | |title=Acute Ischemia of the Glans Penis after Circumcision Treated with Hyperbaric Therapy and Pentoxifylline: Case Report and Revision of the Literature | ||
| + | |trans-title= | ||
| + | |language= | ||
| + | |journal=Urol Int | ||
| + | |location= | ||
| + | |date=2018-02-13 | ||
| + | |volume=100 | ||
| + | |issue=3 | ||
| + | |article= | ||
| + | |page= | ||
| + | |pages=361-3 | ||
| + | |url=https://www.karger.com/Article/Abstract/444399 | ||
| + | |archived= | ||
| + | |quote= | ||
| + | |pubmedID=26871688 | ||
| + | |pubmedCID= | ||
| + | |DOI=10.1159/000444399 | ||
| + | |accessdate=2022-02-20 | ||
| + | }}</ref> | ||
Revision as of 00:03, 21 February 2022
Construction Site
This article is work in progress and not yet part of the free encyclopedia IntactiWiki.
Ischemia of the glans penis is a not-so-rare iatrogenic complication of circumcision.[1]
Disruption of blood circulation
Male circumcision frequently includes excision of the frenulum, which carries the frenular artery.[2] The frenular artery supplies arterial blood to to the glans penis, so the excision of the frenulum reduces the supply of arterial blood to the glans penis.
Circumcision also disrupts the return flow of blood to the heart. Veins in the prepuce provide "at least part of the drainage of the glans surface."[3] Moreover, the dorsal veins from the acroposthion are severed and excised by circumcision. This frequently results in post-circumcision lymphoedema due to the reduction in blood circulation. Ferhatoglu et al. (2019) reported edema in 108 of 198 patients or 54.5 percent, indicating substantial impairment of circulation.[4]
Case reports
Tzeng et al. (2004) reported the case of a 33-year-old man who experienceed ischemia of the glans penis within 24 hours after a circumcision. He was treated with intravenous pentoxifyllin and hyperbaric oxygenation.[5]
Aslan et al. (2005) reported the case of an eleven-year-old boy who experienced ischemia of the glans penis within 24 hours of a circumcision. The boy was successfully treated with pentoxifylline injection for 5 days.[6]
Devarakonda & Aghavendra (2010) reported a case of ischemia of the glans penis.[7]
Karaguzel et al. (2013) reported a case of ischemia of the glans penis after circumcision in a four-year-old boy. The boy was successfully treated with pentoxifylline.[8]
Cárdenas Elías et al. (2016) reported a case of ischemia of the glans penis in a ten-year-old patient with symptoms appearing two hours after circumcision. The boy was treated with pentoxifylline (PTX) that is maintained for 6 days, topical testosterone and a caudal blocking (for 48 hours).[9]
Migliorini et al. (2018) reported a case of ischemia of the glans penis after circumcision in a 24-year-old male. The patient was successfully treated with hyperbaric oxygen therapy in combination with pentoxifylline.[10]
References
- ↑
Pepe, Pietro, Pietropaolo, Francesco, Candiano, Guiseppe, Pennisi, Michele. Ischemia of the glans penis following circumcision: case report and revision of the literature. Arch Ital Urol Androl. 31 March 2015; 87(1): 93-4. PMID. DOI. Retrieved 20 February 2022.
Quote:The patient had undergone circumcision 5 days before in a surgery department under local anesthesia.
- ↑ Shenoy SP, Marla, PK, Sharma P, et al. Frenulum Sparing Circumcision: Step-By-Step Approach of a Novel Technique. J Clin Diagn Res.. December 2015; 9(12): PC01-PC03. PMID. PMC. DOI. Retrieved 20 February 2022.
- ↑
McGrath, Ken (2001): The Frenular Delta: A New Preputial Stucture. Work: Understanding Circumcision: A Multi-Disciplinary Approach to a Multi-Dimensional Problem. Denniston GC, Hodges FM, Milos MF, editors. (ed.). New York: Kluwer/Plenum,. Retrieved 20 February 2022.
- ↑ Ferhatoglu Mf, Kartal A, Gurkan A. Evaluation of Male Circumcision: Retrospective Analysis of One Hundred and Ninety-eight Patients. Cureus. 27 April 2019; 11(4): e4555. PMID. PMC. DOI. Retrieved 20 February 2022.
- ↑ Tzeng, Yuan-Sheng, Tang, Shou-Hung, Meng, En, et al. Ischemic glans penis after circumcision. Asian J Androl. June 2004; 6(2): 161-3. PMID. Retrieved 20 February 2022.
- ↑ Aslan, Karagüzel G, Melikoglu M. Severe ischemia of the glans penis following circumcision: a successful treatment via pentoxifylline. Int J Urol. July 2005; 12(7): 705-07. PMID. DOI. Retrieved 20 February 2022.
Quote:We suggest that pentoxifylline might be considered as a treatment of choice for severe ischemia of glans penis.
- ↑ Devarakonda K, Aghavendra TR. A case of ischemia of the glans penis. Paediatr Anaesth. June 2010; 20(6): 582-6. PMID. DOI. Retrieved 20 February 2022.
- ↑ Karaguzel E, Tok DS, Kazaz IO, et al. Postcircumcisional ischemia of the glans penis treated with pentoxifylline. Case Rep Urol. 4 February 2013; : 278523.. PMID. PMC. DOI. Retrieved 20 February 2022.
- ↑ Cárdenas Elías M Á, Rueda FV, Crespo VJ, et al. [An unexpected complication: glans ischemia after circumcision. Review of the literature]. Cir Pediatr. July 2016; 29(3): 127-30. PMID. Retrieved 20 February 2022.
- ↑ Migliorini, Fillipo, Bianconi, Francesco, Bizzotto, Leonardo, et al. Acute Ischemia of the Glans Penis after Circumcision Treated with Hyperbaric Therapy and Pentoxifylline: Case Report and Revision of the Literature. Urol Int. 13 February 2018; 100(3): 361-3. PMID. DOI. Retrieved 20 February 2022.
