Penile strangulation injury by metallic ring: A study of 4 cases

Strangulation of penis is a rare clinical entity, which requires urgent urological management to prevent its devastating outcomes. The treatment of penile strangulation is immediate decompression of the constricted penis to facilitate free blood flow. Many different techniques have been described in literature to remove the constricting penile foreign bodies, but there is no universally accepted technique. Each case needs individualized handling in removing the foreign body. The procedure should be done with as little discomfort to the patient as possible and under anesthesia. Here we present to you a case report on a rare case of a metallic ring penile foreign body causing penile strangulation.

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Penile strangulation due to metallic ring: a surgical emergency

International Surgery Journal ◽

10.18203/2349-2902.isj20195145 ◽

2019 ◽

Vol 6 (11) ◽

pp. 4160 ◽

Cited By ~ 1

Author(s):

Jitendra Kumar Saroj ◽

Arshad Ahmad ◽

Ankit Sachan ◽

Ganesh Yadav

Keyword(s):

Clinical Condition ◽

Common Method ◽

Foreign Object ◽

Penile Strangulation ◽

Sexual Stimulation ◽

Surgical Emergency ◽

Metallic Ring ◽

Partial Penectomy

Penile strangulation is a very rare but most serious clinical condition. It usually results from positioning of any foreign object at base of penis for sexual stimulation. If urgent intervention is not done this may lead to serious complications even death? In this study usual common method were unsuccessful therefore partial penectomy was done.

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Surgical Outcome for Treating Penile Strangulation by Heavy Metallic Ring

Journal of Surgical Sciences ◽

10.3329/jss.v17i2.43784 ◽

2019 ◽

Vol 17 (2) ◽

pp. 96-98

Author(s):

Prodyut Kumar Saha ◽

SM Mahbub Alam ◽

ATM Nurul Amin ◽

Kartik Chandra Ghosh ◽

Hafiz Al-Asad

Keyword(s):

Blood Flow ◽

Surgical Technique ◽

Foreign Bodies ◽

Penile Erection ◽

Treatment Options ◽

Metal Object ◽

Penile Strangulation ◽

Psychological Disturbances ◽

Grade Ii ◽

Metallic Ring

Penile strangulation caused by foreign bodies mostly occurs in adolescents and adult male. A man may place metal object for erotic or autoerotic purposes, for masturbation or increasing penile erection, and due to psychological disturbances which lead to penile strangulation. Penile strangulation results in reduced blood flow distal to the injury, leading to edema, ischemia, and sometimes gangrene. These injuries are divided into five grades and their treatment options are divided into four groups. Here an innovative surgical technique, which can be adopted in Grade II and Ill injury has been described. Journal of Surgical Sciences (2013) Vol. 17 (2) : 96-98

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Bone Cutting Forceps: A Safe Approach for Saving Strangulated Penis

Case Reports in Medicine ◽

10.1155/2016/1274124 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Mohamed Ahmed Abd El Salam ◽

Ahmed Gamal ◽

Hossam Elenany

Keyword(s):

Mental Retardation ◽

Case Report ◽

Emergency Room ◽

Uneventful Recovery ◽

Sexual Preferences ◽

Penile Strangulation ◽

Wide Range ◽

Metallic Ring ◽

Safe Approach

Penile strangulation is considered a rare andrological emergency that may lead to a wide range of complications. Penile strangulation may be related to mental retardation in children or hypersexuality, abnormal sexual preferences in adults. This case report shows a 23-year-old male who presented to the emergency room with agonizing pain related to a metallic ring placed at the base of the penis for more than 8 hours during an attempt of masturbation. Removing this metallic ring and saving the patient’s penis from gangrene without causing injury were very challenging. Patient was successfully managed and had an uneventful recovery.

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Penile Strangulation by a Metallic Ring: Clinical Case and Literature Review

Urologia Journal ◽

10.1177/039156039806501s09 ◽

1998 ◽

Vol 65 (1_suppl) ◽

pp. 39-42

Author(s):

G. Liguori ◽

C. Trombetta ◽

G. De Giorgi ◽

S. Siracusano ◽

M. Raber ◽

...

Keyword(s):

Literature Review ◽

Clinical Case ◽

Metal Ring ◽

Severe Injuries ◽

Penile Strangulation ◽

Type Size ◽

Cavernous Tissue ◽

Metallic Ring ◽

Prompt Attention ◽

Careful Management

The use of metallic and non-metallic objects on the penis for erotic pleasure is not rare. Sometimes penile strangulation can occur, but prompt attention and careful management can lead to full recovery. Penile strangulation, if unrelieved, may lead to penile engorgement, ulceration, necrosis of the spongiosum and cavernous tissue, urinary extravation and even gangrene. We report on a case of a young man who presented with a metal ring jammed around the penis. Metallic objects cause less severe injuries than non-metallic ones, but they are difficult to remove. In these cases a metal cutter, saw, heavy drill hammer and chisel can be used. It is easier to remove non-metallic objects but injuries are severe. The choice of method for removing an object depends upon its type, size, how long it has been in place and availability of equipment.

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Penile strangulation: An unusual sexual practice that often presents an urological emergency

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2014.1.43 ◽

2014 ◽

Vol 86 (1) ◽

pp. 43 ◽

Cited By ~ 4

Author(s):

Lucio Dell’Atti

Keyword(s):

Emergency Department ◽

Foreign Body ◽

Multidisciplinary Approach ◽

Sexual Practice ◽

Sexual Performance ◽

Penile Strangulation ◽

Clinical Consequences ◽

Metallic Ring ◽

Urological Emergency

Placement of constricting devices around the penis for autoerotic purposes or increasing of sexual performance represents a well-known challenge for urologists. Penile incarceration is a urologic emergency with potentially severe clinical consequences. In many cases a rapid intervention and a sudden removal of the foreign body it is enough so that patients need no further intervention. We report three different cases of strangulating objects (metallic ring, metal bearing and plumbing pipe) presented at our emergency department and three different methods of devices extraction practiced. Remove these devices can be challenging and often requires resourcefulness and multidisciplinary approach.

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Surgical reconstruction and follow-up of penile strangulation injury

Urology Case Reports ◽

10.1016/j.eucr.2018.02.005 ◽

2018 ◽

Vol 19 ◽

pp. 6-8

Author(s):

Kevin Campbell ◽

Russell Terry ◽

Lawrence Yeung

Keyword(s):

Surgical Reconstruction ◽

Penile Strangulation ◽

Strangulation Injury

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DANGEROUS SITE TO WEAR A METALLIC RING: A CASE REPORT AND REVIEW OF LITERATURE OF PENILE STRANGULATION

International Journal of Medical Reviews and Case Reports ◽

10.5455/ijmrcr.penile-strangulation ◽

2018 ◽

Vol 2 (Reports in Surgery and Dermatolo) ◽

pp. 1

Author(s):

KUSUMMEENA KUSUMMEENA ◽

SUJATA SUJATA ◽

PAWANKUMAR PAWANKUMAR

Keyword(s):

Case Report ◽

Review Of Literature ◽

Penile Strangulation ◽

Metallic Ring

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Penile Rings: No Innovation without Evaluation

European Journal of Case Reports in Internal Medicine ◽

10.12890/2019_001292 ◽

2019 ◽

Author(s):

Sherif Monib ◽

Bassem Amr

Keyword(s):

Male Patient ◽

Male Genitalia ◽

Clinical Entity ◽

Rare Clinical Entity ◽

Penile Strangulation ◽

Penile Amputation ◽

Vascular Compromise ◽

Metallic Ring ◽

No Innovation ◽

Real Challenge

Penile strangulation is a rare clinical entity which if left untreated can cause serious urogenital problems. We present the case of 45-year-old male patient who presented with penile strangulation after applying a metallic ring. Strangulation of the external male genitalia is a serious problem that requires urgent intervention in order to avoid serious complications. If left untreated, it can result in gangrene and penile amputation. Management of penile strangulation is a real challenge for the treating surgeon and should be treated as an emergency in order to avoid vascular compromise.

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