Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra

Isabelle Moseley; Rachel Greenberg; Meredith Wasserman; Simone Thavaseelan; Madeline Cancian

doi:10.1016/j.eucr.2021.101902

Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra

Urol Case Rep. 2021 Oct 19:40:101902. doi: 10.1016/j.eucr.2021.101902. eCollection 2022 Jan.

Authors

Isabelle Moseley¹, Rachel Greenberg², Meredith Wasserman², Simone Thavaseelan², Madeline Cancian²

Affiliations

¹ Warren Alpert Medical School, Brown University, Providence, RI, 02903, USA.
² Department of Urology, Warren Alpert Medical School, Brown University, RI, 02903, USA.

Abstract

We report a case of leukocytoclastic vasculitis-induced penile necrosis in a 69-year-old male with no previous urologic history. After suffering an ischemic event to the distal shaft of the penis as well as an ischemic event involving the right side of the bladder, he underwent suprapubic tube placement for urinary diversion. Despite attempts at anticoagulation for penile salvage, he lost the distal aspect of the glans penis to auto-necrosis. Ultimately, the underlying disease was determined to be systemic ANCA-associated vasculitis, and the patient was treated with rituximab and prednisone as well as penile wound debridement.

Keywords: Leukocytoclastic vasculitis; Penile necrosis; Reconstructive urology.

Publication types

Case Reports