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2017 ; 13
(ä): 113-116
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gab.com Text
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English Wikipedia
Penile Calciphylaxis: The Use of Radiological Investigations in the Management of
a Rare and Challenging Condition
#MMPMID28507910
Campbell RA
; Alzweri LM
; Sopko NA
; Macura KJ
; Burnett AL
Urol Case Rep
2017[Jul]; 13
(ä): 113-116
PMID28507910
show ga
Penile calciphylaxis is a rare phenomenon of penile necrosis observed in patients
with hemodialysis-dependent end-stage renal failure. Multiple treatments have
been proposed including conservative management, surgical debridement and
penectomy; yet, the prognosis remains extremely poor. Here, we describe a patient
with protracted resolution of dry gangrene of the glans, which failed
conservative management of wound care and pain management. Radiological studies
revealed extensive calcification of abdominal aorta and branching vessels
including the penile arteries. Due to intolerable pain, the patient required
total penectomy. Earlier surgical intervention guided by findings on radiological
studies may improve quality of life in this population.