Pediatric Surgery Department, Hospital Universitario de Navarra, Pamplona, Spain.
Pathology Department, Hospital Universitario de Navarra, Pamplona, Spain.
Urol Int. 2023;107(1):105-110. doi: 10.1159/000527642. Epub 2022 Dec 9.
Glans ischemia is an extremely infrequent complication characterized by a total or partial compromise in the penile arterial perfusion. A 15-year-old male patient suffered an episode of ischemia in the glans penis post-circumcision 24 h after surgery. Intravenous treatment with continuous perfusion of pentoxifylline was started for 4 days, with favorable evolution. Complete resolution was observed with no sequelae. There is no consensus on the best therapeutic management. The favorable evolution reported in most of the cases despite different therapeutic approaches leads us to think that the role of the treatments proposed so far is probably less than we believe. Additionally, we present a proposal for a diagnostic and therapeutic guide for this entity. Although the evidence in the literature is scarce and this guideline should be interpreted with caution, we believe that it can constitute a support resource for cases similar to ours.
龟头缺血是一种极其罕见的并发症，其特征是阴茎动脉灌注完全或部分受损。一名 15 岁男性患者在术后 24 小时行包皮环切术后出现龟头缺血。静脉内持续输注己酮可可碱治疗 4 天，病情好转。完全缓解，无后遗症。目前对于最佳治疗方案尚未达成共识。尽管采用了不同的治疗方法，但大多数病例的良好转归提示我们，目前提出的治疗方法的作用可能比我们认为的要小。此外，我们还提出了一种针对该疾病的诊断和治疗指南。尽管文献中的证据有限，且应谨慎解读本指南，但我们认为它可以为类似我们病例的情况提供支持资源。
