Dr Georges El Hasbani at American University of Beirut, Beirut, Lebanon and colleagues have reported a rare case of penile ossification which has been published in Urology case reports.
Penile ossification is a very rare condition, with fewer than 40 cases reported in the medical literature.
The disease has been linked traditionally to Peyronie’s disease (PD) despite the presence of other less common etiologies. The ossification takes place usually in the mid-shaft of the penis with few cases reporting involvement of the entire shaft. Ultrasound has been the method of choice to demonstrate plaque calcifications.
According to history a 63-year-old patient with a past medical history of alcoholism presented to the emergency department for a knee pain following a fall. He was walking on the side walk with his cane when he fell onto his buttocks. He denied any head injury or loss of consciousness. He was able to get up with assistance, and to ambulate. Shortly thereafter, he started to have a left knee pain, and decided to present to the emergency department.
Physical exam was negative except for a penile pain. He had no penile discharge, non-swollen prostate, no lymphadenopathy, and no costo-vertebral angle (CVA) tenderness. A pelvic x-ray performed to rule out any fracture showed a severe, asymmetric degenerative changes of the right hip. An extensive, plaque-like calcification along the expected distribution of the penis was evident . The diagnosis of penile ossification along the entire penile shaft was suspected.
This case report discusses the presence of ossification in the entire penile shaft which has been found incidentally on a pelvic x-ray in a patient presenting to the emergency department for a trauma of the knee.
Medical and surgical treatment options exist depending on the extent of ossification and symptoms.Men who don’t have any symptoms typically don’t need treatment right away. But those with bothersome symptoms, such as pain, may be prescribed painkillers or receive injections in the penis with certain drugs to reduce pain or curvature. In severe cases, men may need surgical treatment, the report said.
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