Atalay A C, Karaman M I
Department of Urology, Sisli Etfal General Hospital, Istanbul, Turkey.
Int J Urol. 1997 Jul;4(4):431-2. doi: 10.1111/j.1442-2042.1997.tb00223.x.
To date, only 10 cases of distal penile gangrene in patients with chronic renal failure have been reported. This rare condition is believed to result from progressive vascular calcification due to secondary hyperparathyroidism in patients with chronic renal failure. We report an additional case of distal penile gangrene in a 41-year-old man who presented with chronic renal disease and pulmonary tuberculosis. Since some authors have emphasized that aggressive surgical treatment in such cases has a significant mortality rate, we took a more conservative approach to treatment.
迄今为止，仅报告了10例慢性肾衰竭患者发生阴茎远端坏疽的病例。这种罕见情况被认为是由于慢性肾衰竭患者继发性甲状旁腺功能亢进导致的进行性血管钙化所致。我们报告了另外1例41岁男性阴茎远端坏疽的病例，该患者患有慢性肾病和肺结核。由于一些作者强调，在此类病例中积极的手术治疗有显著的死亡率，我们采取了更保守的治疗方法。
