Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

Zhang, Jiqing; Wang, Xueming; Li, Zhulin; Zhang, Junhui; Zhang, Xiaodong; Xing, Nianzeng

doi:10.1016/j.esxm.2017.02.004

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Zhang et al . 9 have also emphasized the importance of seeking help from external agencies, such as rescue teams, in cases of penile strangulation involving materials such as steel rings. This recommendation arises from the fact that emergency rooms and outpatient clinics are often not equipped with the specialized tools required for such procedures.…”

Section: Discussionmentioning

confidence: 99%

Innovative techniques in the treatment of penile strangulation: a case report

Gazzah,

Mzoughi,

Lahouar

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction and importance: Penile strangulation is a medical emergency characterized by the encirclement of the penis by an external object, resulting in circulatory compromise. Case presentation: A 35-year-old male presented with penile pain and urinary obstruction due to the inability to remove the ring. Upon examination, the ring was firmly lodged at the base of the penis, causing significant swelling and discoloration in the distal region. Interventions and outcomes: Initial attempts to cut the ring using standard tools were unsuccessful, leading to the engagement of a rescue team equipped with an air cutter. The cutting procedure, complicated by the ring’s thickness and hardness and the significant edema, took ~90 min. Safety measures, including the use of a surgical brain spatula and forceps, were employed to protect the penile skin from damage during the operation. Relevance and impact: This case underscores the necessity for timely intervention in penile strangulation cases and highlights the effectiveness of collaboration with specialized rescue teams equipped with appropriate cutting tools. It also emphasizes the importance of safety considerations when employing nonmedical devices in medical emergencies. The patient experienced a favorable outcome, with significant improvement in swelling and discoloration postprocedure, and no complications during follow-up. This report contributes to the limited but crucial literature on managing penile strangulation, particularly regarding the methods and timeframes for safely removing constricting objects.

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Section: Discussionmentioning

confidence: 99%

Innovative techniques in the treatment of penile strangulation: a case report

Gazzah,

Mzoughi,

Lahouar

et al. 2024

Annals of Medicine &Amp; Surgery

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“…Past literatures have described various methods of removing metal ring which range from string method, cutting instruments such as steel bolt cutter, power cutters and surgery when all other methods fails. Cutting instruments are the most common method used by surgeons in many reports [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

A case of penoscrotal ring incarceration: lesson from experience

Mugialan

Fahmey

Lee

et al. 2023

Androl. genit. hir.

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Penoscrotal incarceration is a rare complication commonly caused by penile ring application for sexual enhancement. Due to rarity of this condition, managing this condition is still a challenge for many urologists. Here, we present a 31 years old man who presented to our centre with two days history of penile and scrotal swelling after fitting penile ring. We will present method used by our team in managing this rare condition.

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“…Approaches to removal of constricting devices have a wide range of options, which can depend on the device composition and size, as well as degree of edema/strangulation. There have been reports demonstrating use of needle aspiration, electric tools, saws, industrial bolt cutters, and assistance from firemen and maintenance staff ( Table 2 ) [ 1 , 2 , 6 – 12 ].…”

Section: Discussionmentioning

confidence: 99%

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

Patel

Schulman

Bloom

et al. 2018

Case Reports in Surgery

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Penile and scrotal entrapment from a metal ring placed at the base of the penis is a rare, but important clinical dilemma encountered in urology. Emergent presentation to the urologist, after ring placement far longer than safely practiced, risks ischemic and permanent injury to penile, scrotal, and intrascrotal structures. Treating urologists should be aware of the prevalence of metal ring use, their potential complications, and the surgical approach to their safe removal. We present two patients who were identified at our institution with strangulating injuries of retained penile rings. The first patient was a healthy, 43-year-old male with a metal ring retained for 24 hours that was safely removed with industrial bolt cutters. The second patient, a 74-year-old male, died as a result of sepsis from injuries secondary to penoscrotal ischemia after >48 hour ring retention despite prompt removal at emergent presentation. Although rare, sexual practices may include the use of penoscrotal rings. When retained, ischemic injury and edema may lead to strangulation. Emergent removal may require industrial equipment that is not within the confines of normal operating room tools. Tissue injury may be severe and sepsis life-threatening, even after ring removal.

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Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

Cited by 6 publications

References 9 publications

Innovative techniques in the treatment of penile strangulation: a case report

Innovative techniques in the treatment of penile strangulation: a case report

A case of penoscrotal ring incarceration: lesson from experience

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

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