Polak Nir, Fishelev Gregory, Lang Erez, Wang Zemer, Neheman Amos, Ben Haim Yacov, Hadanny Amir, Efrati Shai
Sagol Center for Hyperbaric Medicine & Research, Shamir (Assaf-Harofeh) Medical Center, Israel, affiliated to Sackler School of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.
Sagol Center for Hyperbaric Medicine & Research, Shamir (Assaf-Harofeh) Medical Center, Israel, affiliated to Sackler School of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.
Urology. 2021 Mar;149:e48-e51. doi: 10.1016/j.urology.2020.09.006. Epub 2020 Sep 18.
Ischemic complications of glans penis following circumcision are rare, and if occurs can culminate in irreversible necrosis with severe long-term consequences. Here we present 2 challenging cases of neonates suffering from acute severe glans penis ischemia after circumcision that were treated by hyperbaric oxygen treatment (HBOT). In addition to case presentations, the literature related to complications of circumcision and the physiological effects of HBOT are being reviewed. Based on the review and the case presented, we conclude that HBOT can be used as salvage treatment for circumcision induced glans ischemia as early as possible before full necrosis develops.
包皮环切术后阴茎头缺血性并发症罕见,一旦发生可能导致不可逆转的坏死,并产生严重的长期后果。在此,我们报告2例包皮环切术后发生急性严重阴茎头缺血的新生儿挑战性病例,采用高压氧治疗(HBOT)。除病例报告外,还对包皮环切术并发症及高压氧治疗的生理效应相关文献进行了综述。基于综述及所呈现的病例,我们得出结论,在完全坏死发生前,高压氧治疗可尽早用作包皮环切术所致阴茎头缺血的挽救治疗。