Necrosis of the glans penis: A complication of an injection of buprenorphin in a opioid abuser [Nécrose du gland après injection volontaire de buprénorphine dans un contexte de toxicomanie aux opio?des]

摘要

Necrosis of the penis glans is commonly described after circumcision or strangulation. We report the case of a patient, opioid abuser, who presented an isolated glans necrosis after an injection of buprenorphin. The buprenorphin (Subutex ?) is a sublingual partial mu-opioid agonist used for the treatment of heroin dependance. Its intravenous or subcutaneous abuse is associated with local infection. The patient require a surgical intervention. After the failure of a mucosal graft, a soft skin graft was done.