PMC7652709_01
Black eschar at glans penis with infected edges.
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There was also dryness of the penile shaft skin with infected oozing edges of the black lesion (Fig. 1).
Pelvic x-ray with extensive vascular calcifications.
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Phosphorus (5.15 mg/dL), calcium (8.8 mg/dL) and PTH (26.45 pg/mL). Pelvic x-ray show bbhed extensive vascular calcifications (Fig. 2).
a) 1 cm safety margin from the infected area, b) adequate urethral length.
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Under general anesthesia, a circumferential incision was made to about one cm from the edge of the infected area down to the healthy viable skin tissue (Fig. 3a). Partial penectomy was done with the preservation of adequate length of the penile urethra for anastomosis (Fig. 3b).
Poor blood supply and thrombosis of superficial dorsal vein.
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Thrombosed blood vessels.
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The penis at 6 months follow up.
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At 6 months follow-up, the patient was doing good with complete healing of the penis (Fig. 6).