Intracavernous prostaglandin E1 infusion in diabetes with associated ischemic necrosis of the gland penis

Penile necrosis is a rare event. It has been described as acomplication of diabetes or in systemic vasculitis.1 Ischemicdamages may also arise following genital reconstructive surgery.Necrosis of the glans is generally the first evidence of abroader lesion that may involve the urethra and perineum inso-called Fournier’s necrotizing fasciitis.2 A solitary lesion of theglans without shaft involvement has been described rarely. Ahyperbaric camera represents one of the best therapeutic solutionsin these patients, although intracavernous infusion ofprostaglandin has been shown to be particularly effective.