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Urol Ann. 2020 Jan-Mar;12(1):77-79. doi: 10.4103/UA.UA_65_19. Epub 2019 Dec 23.

Noninfectious glans gangrene in a diabetic male.

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1
Department of Urology, Tata Main Hospital, Jamshedpur, Jharkhand, India.

Abstract

Limited glans penis gangrene is a rare subset of penile gangrene and is associated with favorable prognosis as compared to more aggressive course of the similar entity in moribund diabetic end-stage renal disease patients. A 64-year-old diabetic, hypertensive male with a history of tobacco consumption, bilateral great toe amputations, and normal renal function, presented with gangrene of glans penis and lower urinary tract symptoms. Early surgical debridement, glycemic control, and alpha-blocker treatment were successful in controlling the disease. There was no further progress of the gangrene requiring further amputation and no voiding difficulties after 6 months of follow-up.

KEYWORDS:

Amputation; diabetic; glans gangrene

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