An innovative surgical technique for treating penile incarceration injury caused by heavy metallic ring

Baruah, Sanjib; Bagchi, Puskal Kumar; Barua, SK; Deka, P. C.

doi:10.4103/0970-1591.52942

Cited by 16 publications

(20 citation statements)

References 3 publications

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“…This technique can be carried out for grade II and grade III injuries when other options have failed [5]. We used a similar technique with some modification in our case.…”

Section: Discussionmentioning

confidence: 90%

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Metallic Ring Used for Autoerotic Purpose Leading to Serious Strangulating Penile Injury and Its Management

Sharma¹,

Vijay²,

Das³

et al. 2011

UIJ

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Penile strangulation caused by rings is a rare but challenging problem that a surgeon may come across. Such ringed objects may be placed by perverted men with underlying psychiatric disturbances, or for erotic and autoerotic stimulation and masturbation. Misbelief that a ring application increases and prolongs an erection may also be the cause for such activity. Incarceration of such objects causes distal oedema, ischemia, and at times, gangrene. These injuries have been divided into 5 grades, with surgery being used for advanced grades (grade IV and V). We came across 1 such case with incarceration of a metallic ball-bearing ring around the penis, which we retrieved while preserving the vascularity as well as all of the vital penile tissues, including skin.

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“…This technique can be carried out for grade II and grade III injuries when other options have failed [5]. We used a similar technique with some modification in our case.…”

Section: Discussionmentioning

confidence: 90%

“…It is a very well known fact that "skin is the best form of dressing." Long-term follow-up, including a micturating cysto-urethrogram (MCU), uroflowmetry for urethral stricture and sexual history, and a Doppler study for erectile function, has been recommended [5].…”

Section: Discussionmentioning

confidence: 99%

Metallic Ring Used for Autoerotic Purpose Leading to Serious Strangulating Penile Injury and Its Management

Sharma¹,

Vijay²,

Das³

et al. 2011

UIJ

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show abstract

“…The first case report of penile strangulation available was as early as 1755. [3,4] Dakin had reported the largest series in 1948 [4].…”

Section: Discussionmentioning

confidence: 99%

Penile Strangulation with Metallic Objects in Adults: 2 Case Reports and Literature Review

Sk¹,

Taraphdar²,

Aj³

2014

Emergency Medicine

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Background: Penile strangulation by various metallic and non-metallic objects poses real challenge to the physicians in the Emergency Department. The removal of the offending objects requires imaginative mind, innovative thought process, improvised skill and resources often outside the department and even outside the hospital. Cases have been reported from across the globe and among various age groups ranging from adolescents to geriatric. The underlying motive is usually autoerotic stimulation or sometimes psychiatric disturbances. The incarcerating injury results in reduced blood flow distal to the injury, leading to edema, ischemia, and sometimes gangrene. Unfortunately, patients often present late, when the damage has progressed quite far. Two cases of penile strangulation by metallic objects that resulted in penile edema and were treated successfully are presented here. A search was made for available papers and publication in English language for various methods of management of such cases using keywords "penile strangulation" on PUBMED and PMC database and 72 relevant articles were retrieved. Objective: These cases present lessons to be learned for Accident and Emergency Department doctors in particular and even primary care physicians in general. Conclusion: The cases should be approached and managed on an emergent basis in order to preserve normal function and prevent or minimize further complications.

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“…To ensure penile salvage in desperate situations where conventional measures fail there is compulsion to use desperate measures that may be unconventional and are difficult to avoid 1 3. If the urethra appears intact a per-urethral catheter may be placed else a suprapubic catheter may be placed for an uninhibited micturition 4. We do not promote the unauthorised use of any equipment/device/ therapy and advocate the reader to exercise judicious care, extreme caution, follow all necessary procedures, training, credentialing and laws on the subject concerned as prevalent in the country of origin.…”

Section: Descriptionmentioning

confidence: 98%

Penile strangulation by multiple steel ball bearings: desperate situation-desperate measures

2018

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An innovative surgical technique for treating penile incarceration injury caused by heavy metallic ring

Cited by 16 publications

References 3 publications

Metallic Ring Used for Autoerotic Purpose Leading to Serious Strangulating Penile Injury and Its Management

Metallic Ring Used for Autoerotic Purpose Leading to Serious Strangulating Penile Injury and Its Management

Penile Strangulation with Metallic Objects in Adults: 2 Case Reports and Literature Review

Penile strangulation by multiple steel ball bearings: desperate situation-desperate measures

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