A diabetic patient on hemodialysis developing penile necrosis

A 63-year-old man on hemodialysis for 10 years due to chronic renal failure caused by diabetic nephropathy was examined by our department in January 2011 due to pain in the glans penis region. Examination revealed black, gangrenous tissue in the glans and annular groove regions, and necrotic debridement was conducted at the beginning of February. However, as the gangrenous region enlarged and he became febrile, partial penile resection was conducted on hospital day8 to prevent infection spread. Postoperative wound infection was absent and he was discharged at the end of February. Subsequently, from around April, black necrotic tissue reappeared at the penile resection site and wound dehiscence occurred. Debridement was conducted followed by conservative follow-up, but dialysis intolerance and the systemic condition gradually worsened, and he died at home in the middle of May.