Spontaneous bacterial abscess of bilateral cavernosal bodies

Spontaneous corpus cavernosum abscess in a healthy man using long-term androgenic anabolic steroids

Abscess formation of the corpus cavernosum is very rare. Here, we report a case of long-term anabolic androgenic steroid (AAS) abuse that is suspected to have facilitated the development of a corpus cavernosum abscess in a healthy bodybuilder. Cultures obtained from the abscess contained Staphylococcus epidermidis, a microorganism that almost exclusively affects immunocompromised patients. Therefore, prompt drainage of pus from cavernosal bodies should be the primary aim of the treatment. This case illustrates the potential danger of AAS suppressing the immune system and causing a serious infection.

Corpus cavernosum abscess after Winter procedure performance

A 23-year-old male patient with sickle-cell disease reported his third episode of priapism complicated by the presence of a corpus cavernosum abscess after the performance of a Winter procedure 20 days prior to his presentation. While in hospital for 11 days, two penile needle aspirations and three surgical drainages were performed with associated antibiotic therapy. He evolved with erectile dysfunction refractory to drug therapy and his infectious condition improved. An early penile prosthesis implantation followed after the use of a vacuum pump in an attempt to decrease the fibrotic process of the corpora cavernosa. Final results were positive.

Penile abscess secondary to neglected penile fracture after intracavernosal vasoactive drug injection

Penile abscesses are rare, but can develop after trauma, injection therapy, or surgery of the penis, or as an unusual presentation of sexually transmitted diseases. We report a case of penile abscess in a 51-year-old diabetic man, presented 9 days after neglected penile fracture following intracavernosal injection therapy and sexual intercourse. Penile ultrasonography and surgical exploration confirmed the physical examination findings of involvement of the corpus cavernosum. The pus culture from the abscess revealed Enterococcous faecalis. The patient was successfully treated by surgical drainage of the abscess and primary closure of the ruptured tunica albuginea.

Penile abscess and urethrocutaneous fistula following intracavernous injection: a case report

INTRODUCTION

Intracavernous injection with pharmacological agents is described as a safe and efficient method for erectile dysfunction treatment. Among other adverse events, penile abscess is a potentially difficult-to-treat complication.

AIM

We present a rare case of penile abscess presenting 6 months after intracavernous papaverine injection. The etiology, diagnosis, and management of this condition are discussed briefly.

METHODS

A 49-year-old afebrile man presented with the development of distal penile shaft swelling. A 6 × 4-cm tender lump was palpable on the left ventrolateral side, with mobile overlying skin but fixed to underlying tissue, without any local or general signs of infection. The swelling gradually increased in volume over a period of 2 weeks following intracavernous papaverine injection. However, the patient did not seek medical advice for 6 months because of the minimal symptoms associated with his condition.

RESULTS

The abscess was revealed through sub-coronal circumferential skin degloving incision. The thick abscess sheath was incised and pus drained, followed by blunt excision down to the intact cavernosal tunica albuginea. On the 12th postoperative day, the case was further complicated by development of an urethrocutaneous fistula, 6 mm in diameter, on the ventral side of the spongy urethra. The patient was initially managed by suprapubic cystostomy and an Orandi urethroplasty was performed after 3 months. On day 14, post-urethroplasty, the fistula was completely closed and no complaints concerning micturition were reported. At follow-up, the patient showed good functional results in terms of maintained normal sexual function and absent penile curvature.

CONCLUSIONS

Penile abscess after intracavernous injection is a rare condition. This unusual case speaks to the importance of a thoughtful surgical management with the need of operating team collaboration in order to resolve the abscess and manage potential complications.

Dorsal vein rupture after practice of taqaandan, necrotising cavernositis, penile reconstruction, urethroplasty and penile prosthesis implantation

Penile fracture is an uncommon and emergent urologic condition defined as traumatic rupture of the corpus cavernosum secondary to a blunt trauma of the erect penis. Tunica albuginea is thinned and stretched in the erect state, and a transverse tear in the corpus cavernosums may occur by a buckling force. However, penile dorsal vein tears may mimic penile fracture. Also, corporeal infection and purulent cavernositis are associated with trauma, cavernosography, priapism, intracavernosal injection therapy and penile prosthesis.

[Penile curvature secondary to cavernous body abscess]

A case of unilateral cavernosal body abscess appears after fifteen days of 40 degrees C fever, without urological symptoms. The diagnosis started from a big scrotum aedema, related of a local septic focus in the left cavernosal body. ECO and TAC confirmed the diagnosis, and a surgical treatment was required. After a successful evolution, the patient presents a left penile incurvation with pain and difficulties during the sexual relations, but he did not accept any treatment.