PMC10335878_01
Penile lesion one month after initial presentation.
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A 60-year-old male with a history of cerebral artery aneurysm status postclipping several years ago, obesity, prior tobacco use, and hypertension presented to the urology clinic for evaluation of a split urine stream with associated irritation and peeling of the skin of his glans penis which worsened with intercourse (Figure 1).
Penile lesion two months after initial presentation.
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By this point, his penile lesion had started ulcerating (Figure 2).
Penile lesion four months after initial presentation, one month after anticoagulation.
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He was evaluated every three weeks in the wound care clinic and was found to have significant improvement with the use of collagenase and mupirocin along with continued anticoagulation (Figure 3).
Resolution of penile lesion at 6 months.
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Six months after starting anticoagulation and wound care, he followed up in the vascular medicine clinic and was found to have near resolution of his penile ulcer (Figure 4).