Kawoosa Nadeem Ul Nazeer
Department of General Surgery, Sher i Kashmir Institute of Medical Sciences (SKIMS), Soura, Srinagar, Kashmir 190011 India.
Indian J Surg. 2011 Aug;73(4):304-6. doi: 10.1007/s12262-011-0256-z. Epub 2011 Apr 17.
Isolated gangrene of the penis is rare. Our case was unusual in that gangrene developed due to continuous tourniquet effect on the penis caused by a condom catheter. Also, men with paraplegia appear to have a greater incidence of bacterial colonisation of genital skin as compared to neurologically normal controls. Early therapy is the key, including debridement of entire shaft of the penis distal to the devasted area, parenteral broad-spectrum antibiotics, repeated antiseptic dressings and skin grafting. Early diagnosis by a strong index of suspicion ensures a favourable outcome. Since gangrene of the penis is an irreversible process, this case highlights the importance of proper care and routine maintenance of condom catheters in preventing this complication. Despite extensive search of the literature, I have been able to find only few such cases.
阴茎孤立性坏疽较为罕见。我们的病例不同寻常之处在于，坏疽是由避孕套导管对阴茎持续产生的止血带效应所致。此外，与神经功能正常的对照组相比，截瘫男性生殖器皮肤细菌定植的发生率似乎更高。早期治疗是关键，包括对受损区域远端阴茎整个体部进行清创、胃肠外使用广谱抗生素、反复进行抗菌敷料处理以及皮肤移植。通过高度怀疑指数进行早期诊断可确保取得良好疗效。由于阴茎坏疽是一个不可逆的过程，该病例凸显了正确护理和定期维护避孕套导管以预防这种并发症的重要性。尽管广泛查阅了文献，但我仅能找到少数此类病例。
