Genital incarceration: an unusual case report

Cassidy, Darby; Mador, David R.

doi:10.5489/cuaj.863

Cited by 15 publications

(7 citation statements)

References 12 publications

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“…These burns have been prevented or mitigated through the use of cold sterile fluids for irrigation, placing malleable retractors beneath the metallic objects, and the use of a high precision Midas-Rex pneumatic drill with metal cutting carbide attached. 5 However iatrogenic thermal burns become inevitable when one is dealing with a very hard and thick metallic nut, tightly constricting and strangulating the penis after having been placed on the flaccid penis 12 hours earlier. A compounding factor is when the only available tool for removal is an electrically driven circular grinder.…”

Section: Discussionmentioning

confidence: 99%

Penile Strangulation by Self‐Placement of Metallic Nut: Corporal Cavernosa Tissue Showed Resilience to Thermal Burns Sustained at Removal

Kyei¹,

Asante²,

Mensah³

et al. 2015

Ghana Medical Journal

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We report a case of a 37-year-old male who presented with a 12-hour history of a strangulating 2cm wide by 0.8 cm thick metallic nut on the penile shaft at the peno-scrotal junction. Unlike instances where these metallic objects are placed to enhance sexual stimulation this nut was rather placed to prevent intercourse. A Bosch electric circular grinder was successfully used for removal but a thermal burn to the penile tissues was sustained in the process as the hardness of the nut required a high energy to cut and its thickness did not allow for effective cooling during the process of removal. This resulted in a circumferential denudation of penile skin, a urethro-cutaneous fistula at the penoscrotal junction and a mid-bulbar urethral stricture. The penile wound was subsequently covered with a split skin graft with a delayed closure of the urethrocutaneous fistula and a buccal mucosa patch urethroplasty for the mid bulbar stricture. Despite the degree of thermal burns sustained the patient has maintained good erectile function with grade four rigidity. The tunica albuginea and the underlying corpora cavernosa have shown a significant degree of resilience to thermal burns compared to the corpora spongiosum where the thermal burns led to a urethrocutaneous fistula.

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Section: Discussionmentioning

confidence: 99%

Penile Strangulation by Self‐Placement of Metallic Nut: Corporal Cavernosa Tissue Showed Resilience to Thermal Burns Sustained at Removal

Kyei¹,

Asante²,

Mensah³

et al. 2015

Ghana Medical Journal

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“…2 The presence of these constricting devices results in a potential penile compartment syndrome with an initial obstruction of both venous and lymphatic outflow distal to the device followed by arterial inflow obstruction, ultimately leading to tissue ischemia and necrosis. 3 The choice of object and the resulting clinical consequences are widely variable and therefore the treatment options have to be individualized as per the clinical scenario. Consequences of penile strangulation can be urethro-cutaneous fistula, penile skin necrosis, penile fibrosis, and complete gangrene of penis.…”

Section: Discussionmentioning

confidence: 99%

A metallic ring penile foreign body causing penile strangulation: a rare case report

Maregowda

Muralidhar

2020

Int Surg J

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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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“…However, each case is unique because of the variety of constricting objects. Sometimes, multidisciplinary and even non-medical technical assistance, such as the hospital engineering department and fire department, is essential 1, 2, 3, 4, 7, 8, 9, 10…”

Section: Discussionmentioning

confidence: 99%

Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

Zhang

Wang

et al. 2017

Sexual Medicine

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IntroductionStrangulation of the penis and scrotum by a constricting object has been rarely reported.AimTo describe a man with penoscrotal strangulation caused by a steel ring and its successful removal.MethodsA 28-year-old man presented to the emergency department with a 7-hour history of a steel ring lodged at the base of his penis and scrotum. Removal was accomplished with the assistance of fire brigade personnel who used their hydraulic cable cutter to shear the ring. During the removal, there were no complications.ResultsThe hydraulic cable cutter avoided thermal injury and shortened removal time compared with procedures described in the literature. The patient's recovery was uneventful, with erectile function restored after 1 week.ConclusionGenital incarceration is an urgent clinical situation requiring prompt treatment. However, suitable tools for removing the foreign object are not readily available in emergency and urology departments. Cooperation with other disciplines, even non-medical disciplines, can result in creative and timely measures for removal of the object.Zhang J, Wang X, Zhang J, et al. Penoscrotal Strangulation Caused by a Steel Ring: A Case Report. Sex Med 2017;5:e131–e133.

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Genital incarceration: an unusual case report

Cited by 15 publications

References 12 publications

Penile Strangulation by Self‐Placement of Metallic Nut: Corporal Cavernosa Tissue Showed Resilience to Thermal Burns Sustained at Removal

Penile Strangulation by Self‐Placement of Metallic Nut: Corporal Cavernosa Tissue Showed Resilience to Thermal Burns Sustained at Removal

A metallic ring penile foreign body causing penile strangulation: a rare case report

Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

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