病理性包莖, 龜頭炎膿瘍
朱信誠、鄒凱亦
台北醫學大學-部立雙和醫院泌尿科
Case Report- Pathological phimosis, balanoposthitis with abscess formation
Hsin-Cheng Chu, Kai-Yi Tzou
Department of Urology, Taipei Medical University-Shuang Ho Hospital, Taipei, Taiwan
 
Backgroud
Phimosis is defined as the inability to retract the foreskin. Differentiating between physiologic and pathologic phimosis is important, as the former is managed conservatively and the latter requires surgical intervention. Here, we reported a case of pathological phimosis, which was phimosis leading to balanoposthitis with abscess formation.
Case Report:
This 90-years-old male nursing home resident was presented with intermittent fever, accompanied with scrotal pain, dysuria, and penile swelling. At bedside, gangrenous change of prepuce and severe phimosis was noted. (Figure 1.). CT showed scrotal swelling with air and hyperdense content within. Emergent incision and debridment were arranged. During the procedure, yellowish pus was drained out. Severe phimosis was also noted, and circumcision was also performed. The wound was left open (Figure 2-3.) and dressed with wet gauze three time a day. Empiric antibiotic was also applied. At post-operative day ten, split-thickness skin graft was performed to cover the scrotal and penile skin defect. (Figure 4.) The patient was discharged under stable condition.
Conclusion:
Differentiating between physiologic and pathologic phimosis is important, as the former is managed conservatively and the latter requires surgical intervention.
 
 
    位置
    資料夾名稱
    摘要
    發表人
    TUA秘書處
    單位
    台灣泌尿科醫學會
    建立
    2020-12-28 11:31:07
    最近修訂
    2020-12-28 11:58:16
    1. 1.
      Podium 01
    2. 2.
      Podium 02
    3. 3.
      Podium 03
    4. 4.
      Moderated Poster 01
    5. 5.
      Moderated Poster 02
    6. 6.
      Moderated Poster 03
    7. 7.
      Non-Discussion Poster