Dry Gangrene of the Penis Induced by a Bullring for Sexual Stimulation Purposes

Labanaris, Apostolos P.; Zugor, Vahudin; Smiszek, Robert; Nützel, Reinhold; Kühn, Reinhard

doi:10.1100/tsw.2008.128

Cited by 9 publications

(5 citation statements)

References 9 publications

(13 reference statements)

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“…The fact that this foal underwent mummification with necrosis suggests that blood flow to the foal was stopped after its death (Labanaris et al . 2008).…”

Section: Discussionmentioning

confidence: 99%

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Large placental area of degeneration in a twin pregnancy in a mare (Equus caballus)

Rapacz-Leonard

Paździor-Czapula

2020

Equine Veterinary Education

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Summary A primiparous mare foaled a live foal and a mummy. The mummy and its fetal membranes were necrotic and had been invaginated within the fetal membranes of the live foal. Near the mummy, the fetal membranes of the live foal had a clear demarcation between a ‘white’ and a ‘red’ region. The white region was touching the mummy, and some of its features were similar to those of a fetal–foot placental area of degeneration (PAD): it was ischaemic and degenerate (as indicated by hypoplasia, hyaline degeneration, multifocal squamous metaplasia, cell swelling and basement membrane sclerosis) with villi that were shorter than normal and limited in number. However, the PAD in this case was thinner than those in previous reports, and it was much larger, as it surrounded the entire mummy. The red region, which was touching the maternal endometrium, was hyperaemic, but in other respects, it was similar to the fetal membranes in the other uterine horn. To the authors’ knowledge, this is the first extensive report on the histology of type C twinning (i.e. with a mummified foal) in which the death of one foal had not been induced.

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“…The fact that this foal underwent mummification with necrosis suggests that blood flow to the foal was stopped after its death (Labanaris et al . 2008).…”

Section: Discussionmentioning

confidence: 99%

“…intrauterine growth restriction), which would have developed as a result of low nutrient and oxygen exchange caused by limited access to the endometrium (Whitwell 1980;LeFebvre 2015). The fact that this foal underwent mummification with necrosis suggests that blood flow to the foal was stopped after its death (Labanaris et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Large placental area of degeneration in a twin pregnancy in a mare (Equus caballus)

Rapacz-Leonard

Paździor-Czapula

2020

Equine Veterinary Education

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“…There has been an increase of penile gangrene incidents induced by penile strangulation resulting from either chronic use or acute obstruction by constricting devices for sexual stimulation purposes. [5] The strangulating objects in pediatric and adult age groups differ considerably. While hair tourniquets are common offending agents in children, adults are often self-strangulated by a variety of metallic and non-metallic objects.…”

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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“…Initially, they reduce venous return (which entails the appearance of a distal edema) and subsequently blood pressure is compromised [1] . When this situation persists, ulcers, necrosis or even serious vascular complications such as penile gangrenation appear [7] . The corpora cavernosa are the last to be damaged, since they are protected by Buck's fascia and the tunica albuginea.…”

Section: Discussionmentioning

confidence: 99%