Penile gangrene following penile bandaging for uncontrollable bleeding benign prostatic hyperplasia: case report and review of literature.
DOI:
https://doi.org/10.60787/tnhj.v21i3.513Keywords:
Benign prostatic hyperplasia, haematuria, penile gangrene, penile bandaging, suprapubic cystostomyAbstract
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.Downloads
References
Fourcade R, Lacoin F, Slama A et al. UP-1.09: Impact of benign prostatic hyperplasia (BPH) on medically treated patients' quality of life. Urology. 2010;76(3):S55.
Maliakal J, Mousa E, Menon V. Giant Prostatic Hyperplasia: Fourth largest prostate reported in medicalliterature. Sultan Qaboos University Medical Journal. 2014;14(2):253-256.
Kim J, Moon V. Factors Influencing Health-related Quality of Life in Patients with Benign Prostatic Hyperplasia. Journal of Korean Academy of Nursing. 2010;40(2):287.
Mcvary KT. Clinical evaluation of benign prostatic hyperplasia. Rev Urol2003;5:S3-S11
Mitchell ME, Waltman AC, Athanasoulis CA, Kerr WS Jr, Dretler SP. Control of massive prostatic bleeding with angiographic techniques. J Urol 1976;115:692-5.
Dhingra N, Bhagwat D. Benign prostatic hyperplasia: An overview of existing treatment. Indian J Pharmacol 2011;43:6-12.
Ahmed GI, Aliyu S, Ali N. Bleeding prostate: A 10-year experience in the University of Maiduguri Teaching Hospital (Umth), Nigeria. Sahel Med J 2014;17:79-82.
Yonon H, Goya M, MiyazatoM, Sugaya K, Hatano T, Ogawa Y. Giant prostatic hypertrophy: A case report. Hinyokikakiyo 1990;36:1167-72.
A. Thorpe, D. Neal. Benign prostatic hyperplasia Lancet 2003; 361(9366):1359-1367.Rastinehad AR, Caplin DM, Ost MC, VanderBrink BA, Lobko I, Badlani GH et al. Selective arterial prostatic embolization (SAPE) for refractory haematuria of prostatic origin. Urology 2008;71:181-4.
Mitsubayashi S, Kurita T, Kataoka K, Iguchi M, Kadowaki T. The management of bleeding following transurethral prostatic resection by local irrigation with a thrombin solution. Hinyokikakiyo 1986;32:1371-7.
Singh V., Sinha R. J., Sankhwar S. N. Penile gangrene: a devastating and lethal entity. Saudi Journal of Kidney Diseases and Transplantation. 2011;22(2):359–361
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