Penile Strangulation

Abstract

Penile strangulation or entrapment is an unusual entity that requires urgent treatment due to its potential complications. Several cases have been reported in the medical literature, some of them describing serious injuries such as necrosis, gangrene, and amputation of the penis. However, as far as we know, no fatal cases have been described before. We present the death of an adult male secondary to the complications due to penile strangulation with a plastic bottle neck. The time of incarceration was unknown, but according to a witness it could be about 10 to 14 days. The findings of autopsy were penile strangulation, necrosis of the penis, acute pyelonephritis, and bronchopneumonia. The subject's refusal to ask for medical help was the cause of this atypical evolution.

Penile and Scrotal Strangulation due to Metal Rings: Case Reports and a Review of the Literature

“…To our knowledge, this is the second such reported incident. Morentin et al initially presented death as a result of multiorgan failure due to septic shock in a patient with penile strangulation and multiple medical comorbidities from a plastic bottle for approximately two weeks [ 11 ].…”

The GEM ring cutter: An effective, simple treatment of penile strangulation caused by metal rings

“…Gangrene or penile amputation may occur in severe cases, and in one case, was fatal. 1 Swift recognition and diagnosis is crucial in most circumstances of penile strangulation to prevent serious complications. Penile strangulation is uncommon presentation and a urological emergency created by a constricting device placed round the base of the penis and left there.…”

Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

“…Timely removal of the offending object is paramount for full recovery of circulatory and urinary functions and in most cases further management is unwarranted. Delay in removal can lead to penile necrosis, urethrocutaneous fistula, and even septic shock and death 3, 4, 5, 6…”