Corpus Spongiosum Abscess in a Patient Undergoing Intermittent Self-Dilatation: A Rare Case Report

Penile abscesses of the corpus spongiosum are rare in urology, with few documented cases. These abscesses may occur spontaneously or due to risk factors such as diabetes mellitus, intracavernosal injection therapy, tuberculosis, trauma, and perianal or intra-abdominal abscesses. This report discusses a 76-year-old man who developed a penile abscess involving the corpus spongiosum following intermittent self-dilatation. This required open drainage together with antibiotic cover to clear the infection, and follow-up in an andrology clinic found no remnant abscess. This case highlights the importance of early diagnosis and intervention in penile abscesses, typically managed with imaging, drainage, and culture-directed antibiotics. The drainage options may include open or an ultrasound-guided approach, depending on the size and location. A multidisciplinary approach is crucial, with careful follow-up to manage potential complications such as penile deviation and erectile dysfunction. Pre-procedural counseling is essential, particularly in cases involving urethral instrumentation.