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Corpus Spongiosum Abscess in a Patient Undergoing Intermittent Self-Dilatation: A Rare Case Report

Year: 2024

Type: article

Abstract: Penile abscesses of the corpus spongiosum are rare in urology, with few documented cases. These abscesses may occur spontaneously or due to risk factors such as diabetes mellitus, intracavernosal injection therapy, tuberculosis, trauma, and perianal or intra-abdominal abscesses. This report discusses a 76-year-old man who developed a penile abscess involving the corpus spongiosum following intermittent self-dilatation. This required open drainage together with antibiotic cover to clear the infection, and follow-up in an andrology clinic found no remnant abscess. This case highlights the importance of early diagnosis and intervention in penile abscesses, typically managed with imaging, drainage, and culture-directed antibiotics. The drainage options may include open or an ultrasound-guided approach, depending on the size and location. A multidisciplinary approach is crucial, with careful follow-up to manage potential complications such as penile deviation and erectile dysfunction. Pre-procedural counseling is essential, particularly in cases involving urethral instrumentation.

Source: Cureus

DOI: 10.7759/cureus.69382

Authors: Akshay Vinoo, Meyada Ali, Naveen Sivakumar, Anil Krishan, Abida Sultana

Institutions: Worcestershire Acute Hospitals NHS Trust, University Hospitals Birmingham NHS Foundation Trust, Sandwell & West Birmingham Hospitals NHS Trust, Charing Cross Hospital

Language: English

Topic: Urological Disorders and Treatments

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4402543967