A case of penile strangulation after placement of metallic rings

Abstract

Penile strangulation following placement of metallic rings is a rare clinical entity that needs urgent attention to avoid potentially severe clinical consequences. Careful handling and occasionally a multidisciplinary approach are the keys to a successful outcome.

Self-Inflicted Foreign Bodies around the Male Genitalia

“…The presenting symptoms were pain, swelling of the external genitalia. One patient retained urine and another one had bleeding, this matches what has been reported in the literature [6][7][8].…”

Penile ring entrapment and strangulation: A case report at Kampala International University Teaching Hospital in Western Uganda

“…Whereas the main motive of inserting a penile ring has been linked to eroticism and addressing erectile dysfunction to sustain an erection by impairing venous return [ 3 , 9 , 7 ]; on the other hand, male psychiatric patients use penile constrictors due to mental disorders. Although males younger than 50 years, like for this case, carry only 12 % risk of erectile dysfunction; low self-esteem, use of recreational drugs and delayed hospital consultation increases their risk of penile ring entrapment [ 10 ] when used.…”

“…The primary goal is to restore early arterial inflow, venous and lymphatic drainage to prevent further tissue damage. In keeping with existing literature [ 7 , 10 , 13 , 18 ], we used a powered electric gadget to remove the entrapped metal ring. Because we worked on already friable tissue, our patient developed minimal fibrotic scaring but had normal voiding at 2 weeks and 8 months follow up with no urethra cutaneous fistulae.…”

Genital strangulation caused by metal ring successfully removed using electric saw

“…Different tools were used to remove the constructive device. some authors have used mechanical tools such as the bolt cutter, 4 others have used Motorized tools powered by electricity or compressed air, In these methods, protection of the underlying skin, against cutting edges using metal tongue, is necessary, this must be continuously cooled by water against heat of the motorized tool.…”