AI Article Synopsis
- Acute ischaemia of the glans penis is a rare but serious complication that can occur after circumcision, as evidenced by a case involving a teenage boy.
- The boy was treated successfully using a combination of topical nitroglycerin, oral pentoxifylline, and epidural ropivacaine, showing significant improvement within four days.
- By 12 days post-treatment, the ischaemia had completely resolved, suggesting that a combined regimen of vasodilators and anti-sympathomimetic agents can be effective for this condition.
Article Abstract
Acute ischaemia of the glans penis is a rare and serious complication following circumcision. We report the case of a teenage boy with glanular ischaemia shortly after circumcision with dorsal penile nerve block. This was successfully treated with total 11 days of topical 2% nitroglycerin ointment, 14 days of oral pentoxifylline 400 mg three times a day and 3 days of epidural (0.2% ropivocaine). There was marked clinical improvement at 4 days with a few patches of cyanosis remaining. Surgical intervention was not required, and the patient was discharged with follow-up review. At 12 days, there was complete resolution of ischaemia and the glans penis appeared normal. We suggest that oral, topical and epidural regimen of vasodilators and anti-sympathomimetic agents can be used in combination for acute ischaemia of the glans penis.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9835866 | PMC |
| http://dx.doi.org/10.1136/bcr-2022-249049 | DOI Listing |
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