penile necrosis following condom sheath improper use: a case report and literature review

Ischemia of the penis is not common due to its excellent collateral vessels. our patient was an 89-year-old man with dementia without any vascular disease wearing a condom sheath because of urinary incontinence for many months. lack of precise genitalia care resulted in strangulation of the penis and complete necrosis probably in 10 days. following resuscitation, we performed a complete penectomy and urethrostomy. the patient has acceptable voiding from the penis remnant after 6 months. penile condom sheaths in neglected old patients must be used cautiously; however, diaper appliances may be safer.