Dry Gangrene of the Foreskin after Second Attempt at Prepuce-Sparing Surgery for Congenital Penile Curvature: Case Report and Literature Review

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Abstract

Introduction

Dry gangrene of the foreskin following corrective surgery for congenital penile curvature (CPC) or Peyronie's disease is extremely rare. It is noted as a consequence of intraoperative penile degloving.

Aim

We report one such case with its natural history presented by serial clinical pictures, discuss the management dilemmas, and review a rather scant relevant literature.

Methods

A 32-year-old man with CPC underwent prepuce-sparing corrective surgery for penile curvature on two occasions resulting in dry gangrene of the foreskin following the second attempt.

Results

It was managed conservatively with a satisfactory result.

Conclusion

Gangrene of the foreskin is most likely to occur as a complication after a second attempt at prepuce-sparing surgery. It can be managed nonsurgically with a satisfactory outcome.

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