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Dry Gangrene of the Foreskin after Second Attempt at Prepuce-Sparing Surgery for Congenital Penile Curvature: Case Report and Literature Review.

Chitale S, Sethia K

Department of Urology, Norfolk & Norwich University Hospital NHS Trust, Colney Lane, Norwich, NR4 7UY, UK.

Introduction. Dry gangrene of the foreskin following corrective surgery for congenital penile curvature (CPC) or Peyronie's disease is extremely rare. It is noted as a consequence of intraoperative penile degloving. Aim. We report one such case with its natural history presented by serial clinical pictures, discuss the management dilemmas, and review a rather scant relevant literature. Methods. A 32-year-old man with CPC underwent prepuce-sparing corrective surgery for penile curvature on two occasions resulting in dry gangrene of the foreskin following the second attempt. Results. It was managed conservatively with a satisfactory result. Conclusion. Gangrene of the foreskin is most likely to occur as a complication after a second attempt at prepuce-sparing surgery. It can be managed nonsurgically with a satisfactory outcome.

Published 28 January 2008 in J Sex Med.
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