Methamphetamine is a central nervous system stimulant and is the second most commonly used illicit drug after cannabis. Methamphetamine use for sexual pleasure is well documented. In this case report, we describe two cases presenting to our urban county hospital associated with complications related to penile injection of methamphetamine. Both patients developed penile abscesses and required urgent surgical incision and drainage. Penile abscesses represent a rare complication associated with IV drug administration into the penile corpora. Resultant penile abscesses require broad-spectrum antibiotics and surgical drainage. Further understanding of methamphetamine abuse along with the role it plays in sexual enhancement would be an invaluable addition to understanding of the rationale behind this self-administered stimulant. Drainage of penile abscesses associated with IV drug users may be hazardous to healthcare providers who are at risk from a needle stick injury.
Below: Contrast CT scan of the pelvis of Case 1. CT scan showed abscesses within or adjacent to the bilateral corpus cavernosa. The largest abscess was located in the left corpus cavernosum, measuring 4.8 × 2.8 × 4.4 cm. The additional left corpus cavernosum and right corpus cavernosum abscesses measured 2.4 cm and 1.6 cm, respectively, in longest diameter on coronal views.
Below: Contrast CT scan of the pelvis of Case 2. CT scan showed diffuse edematous thickening of the skin of the penis without evidence of focal fluid collection or abscess
Department of Urology, University of California, San Francisco, 1001 Potrero Avenue, Suite 3A20, San Francisco, CA 94117, USA
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