Vinoo Akshay, Ali Meyada, Sivakumar Naveen, Krishan Anil, Sultana Abida
Urology, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR.
General Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR.
Cureus. 2024 Sep 14;16(9):e69382. doi: 10.7759/cureus.69382. eCollection 2024 Sep.
Penile abscesses of the corpus spongiosum are rare in urology, with few documented cases. These abscesses may occur spontaneously or due to risk factors such as diabetes mellitus, intracavernosal injection therapy, tuberculosis, trauma, and perianal or intra-abdominal abscesses. This report discusses a 76-year-old man who developed a penile abscess involving the corpus spongiosum following intermittent self-dilatation. This required open drainage together with antibiotic cover to clear the infection, and follow-up in an andrology clinic found no remnant abscess. This case highlights the importance of early diagnosis and intervention in penile abscesses, typically managed with imaging, drainage, and culture-directed antibiotics. The drainage options may include open or an ultrasound-guided approach, depending on the size and location. A multidisciplinary approach is crucial, with careful follow-up to manage potential complications such as penile deviation and erectile dysfunction. Pre-procedural counseling is essential, particularly in cases involving urethral instrumentation.
尿道海绵体阴茎脓肿在泌尿外科中较为罕见，仅有少数病例记录。这些脓肿可能自发出现，也可能由糖尿病、海绵体内注射治疗、结核病、外伤以及肛周或腹腔内脓肿等危险因素引发。本报告讨论了一名76岁男性，其在间歇性自我扩张后出现了累及尿道海绵体的阴茎脓肿。这需要进行切开引流并联合使用抗生素以清除感染，男科门诊随访发现无残余脓肿。该病例凸显了阴茎脓肿早期诊断和干预的重要性，阴茎脓肿通常通过影像学检查、引流以及针对培养结果使用抗生素进行治疗。引流方式可包括切开或超声引导下的方法，具体取决于脓肿的大小和位置。多学科方法至关重要，需仔细随访以处理诸如阴茎弯曲和勃起功能障碍等潜在并发症。术前咨询必不可少，尤其是在涉及尿道器械操作的病例中。
