Pepe Pietro, Pietropaolo Francesco, Candiano Giuseppe, Pennisi Michele
Urology Unit, Cannizzaro Hospital, Catania.
Arch Ital Urol Androl. 2015 Mar 31;87(1):93-4. doi: 10.4081/aiua.2015.1.93.
Ischemic complications of the glans penis are rare and commonly result from trauma, inadvertent administration of vasoconstrictive solutions, diabetes mellitus, circumcision and vasculitis; we refer about a young man with severe ischemia of the glans penis following circumcision. The patient had undergone circumcision 5 days before in a surgery department under local anesthesia (1% mepivacaine hydrochloride). The patient noticed a brownish color and edema of the glans penis at 24 h after he opened the wound dressing, but arrived to our hospital only 5 days after circumcision because these findings had progressed. Physical examination revealed the black color or necrotic appearance of the glans penis, and edema on the dorsal penile skin. The patient underwent antibiotic, antiplatatelet, corticosteroid and iperbaric therapy achieving a complete restitutio ad integrum.
阴茎头缺血性并发症罕见，通常由创伤、误注血管收缩剂、糖尿病、包皮环切术和血管炎引起；我们报告一名年轻男性在包皮环切术后发生阴茎头严重缺血的病例。该患者于5天前在外科接受局部麻醉（1%盐酸甲哌卡因）下行包皮环切术。患者在拆开伤口敷料后24小时注意到阴茎头呈褐色且有水肿，但因这些症状加重，直到包皮环切术后5天才到我院就诊。体格检查发现阴茎头呈黑色或坏死外观，阴茎背侧皮肤水肿。该患者接受了抗生素、抗血小板、皮质类固醇和高压氧治疗，最终完全康复。
