Lymphedema Due to Chronic Penile Strangulation: A Case Report

Tanabe, Noboru; Muya, Munenobu; Isonokami, Masaaki; Honda, Tomohito; Ohtani, Hiroshi

doi:10.1111/j.1346-8138.1996.tb02672.x

Cited by 20 publications

(16 citation statements)

References 3 publications

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“…demonstrated, using color Doppler ultrasound, that prolonged penile incarceration may result in penile ischemia and recommended that constriction devices should not be left in place for more than 30 minutes [41]. Chronic use of constriction devices may result in lymphostasis and long‐term lymph edema mimicking elephantiasis [42].…”

Section: Results Of Literature Review and Discussionmentioning

confidence: 99%

Penile Constriction Devices: Case Report, Review of the Literature, and Recommendations for Extrication

Silberstein

Grabowski

Lakin

et al. 2008

The Journal of Sexual Medicine

139

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Introduction Penile constriction devices often present significant challenges to urologic surgeons. Failure to remove such devices can lead to significant ischemia and loss of tissue. Patients often present after several days of ischemia and swelling have developed. Aim This article reviews previously published data on penile constriction devices and strategies for their removal. Additionally, we present new methodologies for extrication. Methods A comprehensive review of the English language literature was performed using MEDLINE. “Penile incarceration” and “penile strangulation” were used as search terms, and a manual bibliographic review of cross-referenced items was performed. Publications prior to 1970 were excluded from our search. Main Outcome Measures Review of published literature on penile constriction devices and their removal. Results Penile incarceration is frequently described in the literature as an isolated case report or small series describing the approach of a single physician or group of physicians for dealing with these problems. Penile incarceration has been reported in a wide spectrum of age groups, with the incarcerating object most frequently placed for erotic or autoerotic purposes. While the most commonly reported devices causing incarceration are metal rings, higher-grade penile injuries are more frequently sustained by nonmetallic objects. Patients who present with incarceration after 72 hours are more likely to sustain higher-grade injuries than those who seek more timely treatment. Strategies for extrication depend on the type of device used, the length of time of incarceration, the patient's ability to remain calm, and the tools available to the presenting physicians. Conclusion Penile incarceration is a urologic emergency with potentially severe clinical consequences. With rapid intervention and removal of the foreign body, most patients do extremely well and need no further intervention. Removal of such devices can be challenging and often requires resourcefulness and a multidisciplinary approach.

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Section: Results Of Literature Review and Discussionmentioning

confidence: 99%

Penile Constriction Devices: Case Report, Review of the Literature, and Recommendations for Extrication

Silberstein

Grabowski

Lakin

et al. 2008

The Journal of Sexual Medicine

139

View full text Add to dashboard Cite

show abstract

“…Pour les anneaux peu serres, provoquant une souffrance du revetement cutane et sous cutane, I'ischemie de la verge est absente. II s'installe secondairement un lymphoedeme d'aggravation progressive au niveau de la peau penienne, donnant& long terme un aspect cartonne et tardivement el6phantiasique [8]. Notre patient n'a consulte qu'apres trois semaines au stade de debut du lymphoedeme penien.…”

Section: Discussionunclassified

“…A un stade tardif de sclerose cutanee (elephantiasis), le traitement consiste en la resection du tissu sclereux suivie d'une plastie du fourreau de la verge [8].…”

Section: Discussionunclassified

Strangulation de la verge par anneau métallique compliquée d’une lésion urétrale

Chabchoub

Lokmane

Hajj

et al. 2007

Androl.

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“…7 Supporting the latter hypothesis is a reported case of long-term use of a penis-enlarging ring in which pathologic examination revealed enlargement of the lymphatic vessels. 8 Moreover, the residual edema may be considerable and in some cases may require removal of the skin and subsequent grafting. 3 In conclusion, CDS is an important tool in the assessment of vascular patency in penile strangulation.…”

Section: Discussionmentioning

confidence: 99%