Successful delayed treatment of acute glans penis ischaemia after adult circumcision: a case report

Diving Hyperb Med. 2023 Jun 30;53(2):151-154. doi: 10.28920/dhm53.2.151-154.

Abstract

Penile glans ischaemia post-circumcision is very rare. A 20-year-old male presented with glans ischaemia following an elective circumcision and was successfully treated with a combination of subcutaneous injection of low molecular weight heparin 0.5 mg·kg⁻¹ twice-daily, oral Tadalafil 5 mg once-daily for three days and 12 hyperbaric oxygen treatments at 243 kPa (2.4 atmospheres absolute) beginning 48 hours after the onset of ischaemia.

Keywords: Anticoagulation; Case report; Hyperbaric oxygen; Surgery; Tadalafil.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Circumcision, Male* / adverse effects
  • Humans
  • Ischemia / etiology
  • Ischemia / therapy
  • Male
  • Penis
  • Time-to-Treatment*
  • Young Adult