Novel treatment for glance necrosis due to priapism; presentation and review of literature.

INTRODUCTION

Glans necrosis in association with priapism is very rare and its appropriate treatment is not known. There is a secondary cause in most cases.

CASE DESCRIPTION: We treated a 65-year-old man with priapism and glans necrosis using a closed shunt (Winter), continuous penile irrigation with normal saline, and heparin for 48 h and waited for the necrotic area to resolve spontaneously. The treatment outcome was much better compared to previous cases in whom open surgery, irrigation with pure normal saline, and/or resection of the necrotic area were performed.

CONCLUSION

In cases with priapism and glans ischemia, we recommend treating the condition with continuous covernose irrigation with heparinized saline and avoiding open surgery.