Yuan Yinuo, Meng Lei, Wang Ruixian, Zhang Zhiyang, Yang Jihua, Zhang Xiaolong, Xu Jianglei, Meng Yao, Zhang Wenjing, Liu Cun
Shandong First Medical University, Jinan, China.
Department of Ultrasound, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital, No.105 Jiefang Road, Lixia District, Jinan , Shandong, China.
Radiol Case Rep. 2023 Mar 3;18(5):1796-1808. doi: 10.1016/j.radcr.2023.01.101. eCollection 2023 May.
A subcutaneous abscess of the penis is a rare condition. It can be idiopathic or have an underlying cause, such as intracavernous injection therapy, foreign body, dilated perineal abscess, abnormal erection, or trauma. Clinical signs are mainly swelling in the penis, penile pain, and swelling. Conventional treatment is primarily surgical incision and drainage, followed by systemic antibiotic therapy. In recent years, with the development of medical technology, minimally invasive interventions and less invasive techniques, such as ultrasound-guided aspiration, are being developed. This article aims to report a case of ultrasound-guided successful diagnosis and treatment of an aseptic idiopathic subcutaneous abscess at the root of the penis and to review the literature on penile abscesses. The patient, a 61-year-old male, underwent ultrasound-guided puncture and drainage using a coaxial aspiration/flushing technique in combination with antibiotics to treat this rare urinary tract condition. The patient recovered well postoperatively and was discharged 3 days later. At a 2-week postoperative follow-up, an ultrasound showed a marked reduction in the penile abscess mass.
阴茎皮下脓肿是一种罕见病症。它可能是特发性的，也可能有潜在病因，如海绵体内注射疗法、异物、会阴部脓肿扩张、异常勃起或外伤。临床症状主要为阴茎肿胀、阴茎疼痛和肿大。传统治疗主要是手术切开引流，随后进行全身性抗生素治疗。近年来，随着医疗技术的发展，正在开发微创干预措施和侵入性较小的技术，如超声引导下抽吸术。本文旨在报告一例超声引导下成功诊断和治疗阴茎根部无菌性特发性皮下脓肿的病例，并回顾有关阴茎脓肿的文献。该患者为一名61岁男性，采用同轴抽吸/冲洗技术结合抗生素进行超声引导下穿刺引流，以治疗这种罕见的泌尿系统疾病。患者术后恢复良好，3天后出院。术后2周随访时，超声显示阴茎脓肿肿块明显缩小。
