Weiner D M, Lowe F C
Department of Urology, St Luke's-Roosevelt Hospital, New York, New York, USA.
J Urol. 1996 Mar;155(3):926-9.
We determined whether early surgical intervention for ischemic penile gangrene in diabetics can be successful and limit morbidity.
A retrospective review was done of 7 diabetic patients with ischemic penile gangrene.
Three patients underwent early distal penectomy without complications. All 4 patients initially observed suffered liquefaction and progression from dry to wet gangrene, and 2 underwent surgery (subtotal penectomy in 1 and distal penectomy in 1 who required reoperations for wound complications).
With appropriate patient selection, surgical intervention can be successful and provide a better quality of life for those without terminal disease. Delaying intervention will usually require more extensive surgery and increase the risk of wound complications. However, observation is indicated for moribund hospitalized patients.
我们确定了糖尿病患者缺血性阴茎坏疽的早期手术干预是否能够成功并降低发病率。
对7例患有缺血性阴茎坏疽的糖尿病患者进行了回顾性研究。
3例患者接受了早期阴茎远端切除术，无并发症。最初观察的4例患者均出现液化，且从干性坏疽发展为湿性坏疽，其中2例接受了手术（1例进行了阴茎次全切除术，1例因伤口并发症需要再次手术而进行了阴茎远端切除术）。
通过适当选择患者，手术干预可以成功，并为那些没有终末期疾病的患者提供更好的生活质量。延迟干预通常需要更广泛的手术，并增加伤口并发症的风险。然而，对于濒死的住院患者，建议进行观察。
