Strangulated penis in a prison inmate: Complete penile degloving and full‐thickness skin graft

Abstract

IntroductionPenile strangulation is a rare urological emergency that necessitates urgent management. The reasoning behind it may include sexual pleasure, erection reinforcement, or a psychiatric disorder.Case presentationDespite being an uncommon complication of penile strangulation, we report a 45‐year‐old prison inmate who presented with penile shaft necrosis secondary to using a non‐metallic constriction object. The patient reported a 5‐day history of progressive penile pain, edema, and skin injury but no urinary symptoms. The patient underwent complete penile skin degloving, circumcision, and insertion of a suprapubic catheter. Postoperatively, the penile tissue appeared healthy, and the wound was granulating. On the eleventh day following degloving, a full‐thickness skin graft was taken from the groin area. The patient remained in the hospital for 20 days, during which he was clinically stable with clean, healing wounds.ConclusionEarly management of penile strangulation is vital in order to prevent vascular and mechanical complications.

Delayed gangrenous penile necrosis following prolonged utilization of penile constriction ring

“…These studies are often focused on different techniques aimed at ring removal in the emergency setting as well as maintenance of urinary function, with little attention paid to cosmesis and delayed functional recovery. 8 Various devices that have been described include chisels, orthopedic saws, grinders, and dental drills. 2 Copious irrigation and application retractors are critical to preventing thermal injury.…”