Penile entrapment by metal ring: Case reports of effective non-surgical management

Delayed gangrenous penile necrosis following prolonged utilization of penile constriction ring

“…Penile necrosis and incarceration secondary to utilization of a constrictive ring is a rare urologic emergency. 1 First described in 1755, penile constrictive rings are intended to prolong erection for sexual enhancement by reducing outflow of blood. 2 In the pediatric population they may be rarely used for enuresis or misapplied newborn circumcision devices, and therefore prone to being left on for an extended period of time.…”

“… 3 Patients with penile entrapment often present with penile edema and pain. 1 , 2 , 4 , 5 , 6 Risk factors for entrapment include utilization of a metal ring, improper ring sizing, and prolonged use which can result in penile ischemia, necrosis, and urinary retention. 4 Common reasons for delayed presentation include patient embarrassment, a poorly controlled psychiatric history, or possible drug and alcohol use.…”

Gradual Approach for The Management of Penile Strangulation by Metal Ring: A Case Report

“…Factors associated with these clinical scenarios may include atypical sexual practices in adults, psychiatric illnesses, and psychoactive substance use (3,4). Managing these cases can be challenging, and the collaboration of a multidisciplinary team may be necessary (5). It is crucial to provide an appropriate and timely intervention to prevent complications and irreversible sexual sequelae, such as surgical penile amputation, fibrosis of the cavernous bodies/permanent erectile dysfunction, sepsis, or even death (6,7).…”