Sloughing of the scrotal skin and impotence subsequent to bilateral hypogastric artery embolization for endovascular aortoiliac aneurysm repair

Peter H. Lin, Ruth L. Bush, Alan B. Lumsden

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

Sloughing of the scrotal skin is an extremely rare event due to pelvic ischemia. We report herein one case of scrotal skin sloughing and impotence after bilateral hypogastric artery embolization for endoluminal aortoiliac aneurysm repair. Postoperative penile plethysmography demonstrated a 75% reduction in the penile brachial index, suggesting that pelvic ischemia is the main culprit for this complication. The devastating morbidity in our patient underscores the importance of maintaining pelvic collateral circulation when planning for endovascular aortoiliac aneurysm repair.

Original languageEnglish (US)
Pages (from-to)748-750
Number of pages3
JournalJournal of Vascular Surgery
Volume34
Issue number4
DOIs
StatePublished - Oct 2001

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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