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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2022; 06(02): 150-151
DOI: 10.1055/s-0041-1732798
Short Communication

Internal Pudendal Artery Angioplasty to Rescue Penile Gangrene.

Pratik Shah
1   Department of Radiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India
,
Vimal Someshwar
1   Department of Radiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India
,
Krishna Mundada
2   Dr. R.N. Cooper Hospital, Mumbai, Maharashtra, India
,
Santosh Waigankar
3   Department of Urooncology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, India
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Abstract

Internal pudendal artery (IPA) is a branch of internal iliac artery that mainly supplies the perineal organs and external genitalia. Any obstruction in the artery seen in diabetics, hypertensives, or chronic kidney disease-induced calciphylaxis leads to decreased blood flow and may cause gangrene. IPA angioplasty is a known therapeutic procedure for erectile dysfunction and has shown promising results. However, similar procedure to relieve arterial blockade may be used to stop spread of penile gangrene and save the anatomical and physiological functions of the penis. We report a novel case of IPA angioplasty in patient of penile gangrene to circumvent total penectomy.

Keywords

penile gangrene - internal pudendal artery - angioplasty


Publication History

Received: 10 April 2021

Accepted after revision: 09 June 2021

Article published online:
01 September 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Agarwal MM, Singh SK, Mandal AK. Penile gangrene in diabetes mellitus with renal failure: a poor prognostic sign of systemic vascular calciphylaxis. Indian J Urol 2007; 23 (02) 208-210
    CrossrefPubMedGoogle Scholar
  • 2 Singh V, Sinha RJ, Sankhwar SN. Penile gangrene: a devastating and lethal entity. Saudi J Kidney Dis Transpl 2011; 22 (02) 359-361
    PubMedGoogle Scholar
  • 3 Camacho J, Grand R, Blevins N. Sharma P, de Riese W, Cammack J. Occlusion of bilateral dorsal penile arteries resulting in glans necrosis in an obese male truck driver. Radiol Case Rep 2018; 13 (02) 397-399
    CrossrefPubMedGoogle Scholar
  • 4 Shiraki T, Iida O, Okamoto S, Ishihara T, Fujita M, Uematsu M. Usefulness of endovascular therapy for penile gangrene secondary to calciphylaxis: a case report. Ann Vasc Surg 2015; 29 (07) 1451.e11-1451.e15
    CrossrefPubMedGoogle Scholar
  • 5 Stein M, Anderson C, Ricciardi R, Chamberlin JW, Lerner SE, Glicklich D. Penile gangrene associated with chronic renal failure: report of 7 cases and review of the literature. J Urol 1994; 152 (6 Pt 1) 2014-2016
    CrossrefPubMedGoogle Scholar