Adler Kerry, Flores Viktor, Kabarriti Abdo
State University of New York Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA.
Urol Case Rep. 2020 Oct 16;34:101456. doi: 10.1016/j.eucr.2020.101456. eCollection 2021 Jan.
Penile calciphylaxis, a rare manifestation of calcific uremic arteriolopathy, is infrequently reported in the literature. Surgical management has demonstrated similar outcomes as conservative management in terms of mean survival time. Therefore, the benefits of surgical intervention for this disease remain controversial. In this report, we present a case of penile calciphylaxis in a hemodialysis-dependent patient with end stage renal disease (ESRD). The interest of this case lies in the severity of illness on initial presentation, which precluded the possibility of conservative management and necessitated penectomy as a means of halting disease progression and improving patient quality of life.
阴茎钙化防御是钙性尿毒症小动脉病的一种罕见表现，文献中鲜有报道。在平均生存时间方面，手术治疗与保守治疗的效果相似。因此，针对这种疾病进行手术干预的益处仍存在争议。在本报告中，我们呈现了一例终末期肾病（ESRD）且依赖血液透析的患者发生阴茎钙化防御的病例。该病例的关注点在于初次就诊时病情的严重程度，这使得保守治疗不可能实现，因而有必要进行阴茎切除以阻止疾病进展并改善患者生活质量。
