Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition

Rebecca A. Campbell; Laith M. Alzweri; Nikolai A. Sopko; Katarzyna J. Macura; Arthur L. Burnett

doi:10.1016/j.eucr.2017.03.008

Urology Case Reports (Jul 2017)

Penile Calciphylaxis: The Use of Radiological Investigations in the Management of a Rare and Challenging Condition

Rebecca A. Campbell,
Laith M. Alzweri,
Nikolai A. Sopko,
Katarzyna J. Macura,
Arthur L. Burnett

Affiliations

Rebecca A. Campbell: Case Western Reserve University School of Medicine, 11100 Euclid Ave, Cleveland, OH 44106, USA
Laith M. Alzweri: The James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
Nikolai A. Sopko: The James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
Katarzyna J. Macura: The James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
Arthur L. Burnett: The James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA

DOI: https://doi.org/10.1016/j.eucr.2017.03.008
Journal volume & issue: Vol. 13, no. C
pp. 113 – 116

Abstract

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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.

Published in Urology Case Reports

ISSN: 2214-4420 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the genitourinary system. Urology
Website: http://www.urologycasereports.com/

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Abstract

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