Korean J Urol.  2006 Aug;47(8):913-916. 10.4111/kju.2006.47.8.913.

Penile Necrosis by Longtime Installation of a Constriction Ring in a Patient using a Vacuum Constriction Device

• Kim KY
• Moon C
• Jo WJ
• Lim DH
• Moon HY
• Rho J
• Kim CS

• KMID: 2294125
• DOI: http://doi.org/10.4111/kju.2006.47.8.913

Abstract

A vacuum constriction device has been described as a safe and satisfactory treatment for erectile dysfunction. The main complications of the device are mostly minor symptoms and serious side effects are rarely reported. We report here on a case of wide ischemic necrosis of the penis including the skin, subcutaneous tissue, tunica albuginea and corpus cavernosum by a constriction ring that had been installed for 72 hours in a 61 year old patient.

Keyword

Vacuum; Penis; Necrosis; Complications

MeSH Terms

Constriction*
Erectile Dysfunction
Humans
Male
Middle Aged
Necrosis*
Penis
Skin
Subcutaneous Tissue
Vacuum*

Figure

• 

  Fig. 1 Painless swelling and skin necrosis of the penile shaft at hospital admission.

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  Fig. 2 Necrosis developed to tunica albuginea and corpus cavernosum on hospital day #20.

• 

  Fig. 3 Both dorsal penile arteries are intact. (A) Left pudendal angiogram. (B) Right pudendal angiogram.

• 

  Fig. 4 Operative finding (penile reconstruction by scrotal flap).

Reference

1. LeRoy SC, Pryor JL. Severe penile erosion after use of a vacuum suction device for management of erectile dysfunction in a spinal cord injured patient. Paraplegia. 1994. 32:120–123.

2. Lee JH, Suh IS, Kim KK. A case of Fournier's gangrene of the scrotum and penis after use of vacuum erection device. Korean J Urol. 1998. 39:297–299.

3. Theiss M, Hofmockel G, Frohmuller HG. Fournier's gangrene in a patient with erectile dysfunction following use of a mechanical erection aid device. J Urol. 1995. 153:1921–1922.

4. Meinhardt W, Kropman RF, Lycklama a Nijeholt AA, Zwartendijk J. Skin necrosis caused by use of negative pressure device for erectile impotence. J Urol. 1990. 144:983.

5. Nadig PW. Six years experience with the vacuum constriction device. Int J Impot Res. 1989. 1:55.

6. Witherington R. Vacuum constriction device for management of erectile impotence. J Urol. 1989. 141:320–322.

7. Rho J. Vacuum constriction device. Textbook of andrology. 2003. 1st ed. Seoul: Koonja Publishing Inc;339–343.

8. Kim SC. Diagnosis and treatment of male sexual dysfunction. 1995. 1st ed. Seoul: Ilchokak;217–225.

9. Witherington R. Suction device therapy in the management of erectile impotence. Urol Clin North Am. 1988. 15:123–128.