Penile gangrene following penile bandaging for uncontrollable bleeding benign prostatic hyperplasia: case report and review of literature.

Authors

  • Odezi Fidelis Otobo University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.
  • Friday Emeakpor Ogbetere Department of Surgery, Edo State University, Uzairue, Edo State, Nigeria.

DOI:

https://doi.org/10.60787/tnhj.v21i3.513

Keywords:

Benign prostatic hyperplasia, haematuria, penile gangrene, penile bandaging, suprapubic cystostomy

Abstract

Background: Benign Prostatic Hyperplasia (BPH) is one of the commonest ailments affecting manyelderly men. Frequently, affected patients present with lower urinary tract symptoms and complications such as urinary retention and haematuria. Haematuria complicating BPH can be very daunting and challenging to manage, making the surgeon to sometimes employ some unconventional and unorthodox methods when all management protocols in his armamentarium are exhausted. The complications resulting from these unconventional methods of managing bleeding BPH may be costly with high morbidity and mortality. Penile gangrene a generally rare entity has not been reported as a complication of these unorthodox methods of managing bleeding BPH.   Case report: Here, we present the case of a 62-year-old man who had his penis bandaged and suspended for two years following an episode of uncontrollable haematuria following a two-day penile bandage for uncontrollable bleeding BPH in the accident and emergency unit of a tertiary health facility. He subsequently developed penile gangrene necessitating his presentation to our facility after discharging against medical advice. He eventually had suprapubic cystostomy and control of haematuria. Subsequently, he had prostatectomy and penile skin grafting.   Conclusion: This case report emphasizes the challenges of managing bleeding BPH and the d angers of employing unconventional and unorthodox treatment protocol in the management of bleeding BPH.

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References

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Published

2022-01-30

How to Cite

Otobo, O. F., & Ogbetere, F. E. (2022). Penile gangrene following penile bandaging for uncontrollable bleeding benign prostatic hyperplasia: case report and review of literature. The Nigerian Health Journal, 21(3), 168–173. https://doi.org/10.60787/tnhj.v21i3.513

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Section

Case Report and Series
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