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Elemen, K. Topçu, N.İ. Gürcan, A. Akay" "autores" => array:4 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Elemen" "email" => array:1 [ 0 => "elemenlevent@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "K." "apellidos" => "Topçu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "N.İ." "apellidos" => "Gürcan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Akay" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Pediátrica, Hospital Universitario Kocaeli, Kocaeli, Turkey" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía Pediátrica, Hospital Gebze Farabi, Ministerio de Salud de Turquía, Kocaeli, Turkey" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Radiología, Hospital Universitario Kocaeli, Kocaeli, Turkey" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento exitoso de la necrosis isquémica del glande poscircuncisión con oxígeno hiperbárico y pentoxifilina intravenosa" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 697 "Ancho" => 952 "Tamanyo" => 88121 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Normal appearance of the glans with minimal epithelial erosion.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Circumcision, the most common surgical procedure in boys, is not totally free of complications with an incidence of 1.5–5%.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Ischemic complications after the procedure are rare and commonly due to administration of vasoconstrictive local anesthetics.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> We have recently read that hyperbaric oxygen treatment (HBOT) can be of help to treat both actinic hemorrhagic cystitis and Fournier's gangrene.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a> We have successfully treated a 5-year-old child with severe glanular ischemia with hyperbaric oxygen treatment and intravenous pentoxifylline.</p><p id="par0010" class="elsevierStylePara elsevierViewall">He underwent circumcision with an adrenaline containing local anesthesia 4 days prior to admission. Physical examination revealed brownish coloration of the glans penis and superficial necrosis of the glanular epithelium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Penile color Doppler examination revealed normal dorsal penile artery blood flow and lack of arterial signals in the cavernous bodies and glans penis. Venous blood flow was normal. The patient was hospitalized and IV pentoxifylline (10<span class="elsevierStyleHsp" style=""></span>mg/kg), divided in four doses daily, was started together with HBOT with 2.5<span class="elsevierStyleHsp" style=""></span>atm pressure for 90-min-long sessions. On the 2nd day of admission, the color of the glans began to lighten, and on the 5th day, it appeared absolutely normal except for a minimal epithelial erosion (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Ischemia and necrosis of the glans penis following a circumcision is rare and usually results from dorsal penile nerve block or circumferential infiltration with an adrenaline containing local anesthetic, inadequate surgical technique, or tight postoperative dressing.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,5,6</span></a> During the vasospasm, the cornerstone of the treatment is to supply adequate oxygen to the ischemic tissues to prevent necrosis. The therapeutic principle of HBOT lies in its ability to drastically increase tissue oxygen partial pressure. Under normal atmospheric pressure, oxygen transport is limited by the oxygen binding capacity of hemoglobin, and very little oxygen is found dissolved in plasma. HBOT significantly increases the oxygen transport through plasma. Arterial blood supply to the glans was not documented in the present patient, so it may be assumed that the oxygen was directly transported to the ischemic tissues via diffusion due to pressure gradient. The positive effect of pentoxifylline on ischemic injury is supposed to be related to the inhibition of the phosphodiesterase activity leading to cAMP synthesis and stimulation of prostaglandin production. HBOT can be superior to lumbar sympathectomy in alleviating the clinical symptoms of lower extremity arterial stenosis.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,6</span></a> HBOT and pentoxifylline have been used separately with encouraging results, and another 33-year-old man with glanular necrosis was treated successfully by HBOT and pentoxifylline together.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> This and our experience favor this approach in the treatment of glanular ischemia.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Elemen L, et al. Tratamiento exitoso de la necrosis isquémica del glande poscircuncisión con oxígeno hiperbárico y pentoxifilina intravenosa. Actas Urol Esp. 2012;36:200–1.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 712 "Ancho" => 951 "Tamanyo" => 93004 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Brownish coloration and superficial necrosis of the glanular epithelium.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 697 "Ancho" => 952 "Tamanyo" => 88121 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Normal appearance of the glans with minimal epithelial erosion.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Glycerol trinitrate plus epidural sympathetic block in the ischemia of glans penis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D. 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Castillo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.acuro.2010.09.006" "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2011" "volumen" => "35" "paginaInicial" => "175" "paginaFinal" => "179" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21334100" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Terapia de oxígeno hiperbárico complementaria al desbridamiento en el control de la gangrena de Fournier: utilidad de la puntuación de un índice de severidad en la predicción de la gravedad de la enfermedad y la supervivencia del paciente" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Janane" 1 => "F. Hajji" 2 => "T.O. Ismail" 3 => "J. Chafiqui" 4 => "M. Ghadouane" 5 => "A. 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Forsyth" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1365-2044.2007.05060.x" "Revista" => array:6 [ "tituloSerie" => "Anaesthesia" "fecha" => "2007" "volumen" => "62" "paginaInicial" => "741" "paginaFinal" => "743" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17567354" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000003600000003/v1_201304251809/S2173578612000820/v1_201304251809/en/main.assets" "Apartado" => array:4 [ "identificador" => "6306" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000003600000003/v1_201304251809/S2173578612000820/v1_201304251809/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000820?idApp=UINPBA00004N" ]
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Letter to the Editor
Successful treatment of post circumcision glanular ischemia–necrosis with hyperbaric oxygen and intravenous pentoxifylline
Tratamiento exitoso de la necrosis isquémica del glande poscircuncisión con oxígeno hiperbárico y pentoxifilina intravenosa