Strangulation of the Penis by a Self-Circumcision Device

Kim, Se J.; Chung, Han; Ahn, Hyun Soo; Chung, Do Young; Kim, Young S.

doi:10.1159/000048450

Cited by 9 publications

(11 citation statements)

References 7 publications

(9 reference statements)

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“…The first case of the penile strangulation following use of a self-circumcision device was documented in 2002. 8 Fortunately, in our case, the patient went through the procedure without loss of penile length or damage to the glans penis or the urethra. A case has been reported that required use of the scrotal skin flaps to cover the penile skin defect after debridement of the necrotic tissue following use of a medically unapproved selfcircumcision device.…”

Section: Discussionmentioning

confidence: 61%

“…4 Penile strangulating devices are usually metallic 5,6 or non-metallic rings, nuts, bushes and sprockets, which have been used for improving sexual performance or for self-circumcision. [6][7][8] Metallic objects cause less severe injury than non-metallic thin objects, although metallic objects are more difficult to remove. 9 Bhat et al 9 have suggested a hammer and chisel method for removal of these objects.…”

Section: Discussionmentioning

confidence: 99%

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Penile skin necrosis - complication following selfcircumcision

Sagar

Sagar²,

Shah³

2005

Ann R Coll Surg Engl

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Circumcision is one of the commonest operations performed throughout the world for ritual, traditional or medical reasons. Self-circumcision may lead to disastrous complications. There have been reports of the complications following use of the constricting devices for improved sexual performance and for auto-erotic intentions, but cases of self-circumcision leading to complications such as necrosis of the penile skin and strangulation of the penis are very rarely reported. This case represents penile skin necrosis in a 55-year-old white English man following an attempt at self-circumcision with a medically unapproved plastic device available in the market. He recovered after surgical debridement and treatment with antibiotics.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Penile skin necrosis - complication following selfcircumcision

Sagar

Sagar²,

Shah³

2005

Ann R Coll Surg Engl

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“…Numerous foreign objects for such purposes have been described, such as rings, rubber bands, metallic screws, self-circumcision devices, hair, thread and even bottles [3][4][5] . In general, metallic objects produce less severe lesions than non-metallic ones, since the latter are generally thinner and sharper [6] . …”

Section: Introductionmentioning

confidence: 99%

Penile Incarceration Secondary to a Ring

Osmán¹,

Muñoz²,

Lozano³

et al. 2010

Urol Int

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“…[3] Reports on selfcircumcision are scarce in literature. [1,[3][4][5][6][7] Adult males comprised most of the cases, and they were reported to use medically unapproved plastic or metallic device for the procedure. [1,3,6] Some reported complications of self-circumcision are bleeding, infection, urethral damage, penile strangulation, skin necrosis, laceration and necrotizing fasciitis.…”

mentioning

confidence: 99%

“…[1,[3][4][5][6][7] Adult males comprised most of the cases, and they were reported to use medically unapproved plastic or metallic device for the procedure. [1,3,6] Some reported complications of self-circumcision are bleeding, infection, urethral damage, penile strangulation, skin necrosis, laceration and necrotizing fasciitis. [1,3,5,7] Reasons for carrying out the procedure on one's own are diverse including poor economic status, fear of the procedure, depression, etc.…”

mentioning

confidence: 99%

A novel complication of self-circumcision: penile skin avulsion

Koç¹

2011

Turkish Journal of Urology

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ÖzetTıraş bıçağı ile kendi kendine sünnet girişimine bağlı komplikasyon gelişen 19 yaşındaki erkek hasta sunulmaktadır. Hastanın herhangi bir anestetik olmaksızın kendi kendine uyguladığı sünnet, penis derisinin ve önderinin laserasyonu ve avülsiyonu ile sonuçlanmıştır. Hasta kendi kendine sünnetten iki saat sonra kontrol altına alınmış lokal kanama ile başvurdu. Hasta, yaşadığı bölgedeki genel sünnet yaşı dikkate alındığında duyduğu utanç nedeniyle kendi kendine sünnete kalkışmıştır. Acil olarak ameliyat odasına alınmıştır. Tampon amacıyla kullanılan bez parçası çözüldüğünde, belirgin kanama görülmemiştir. Öncelikle nekrotik doku alınmış, sonrasında sünnet ve penis derisinin avülsiyonunun onarımı yapılmıştır. Hasta operasyondan iki gün sonra komplikasyon olmaksızın taburcu edilmiştir.Anah tar söz cük ler: Avülsiyon; kendi kendine sünnet; komplikasyon. AbstractThe case of a 19-year-old man who suffered a complication after attempting self-circumcision with a razor blade was presented. He performed self-circumcision without any anesthetic which resulted in a laceration and avulsion of the penile skin and foreskin. The patient presented with controlled local bleeding two hours after self-circumcision. He attempted self-circumcision due to feelings of shame considering the usual age range of circumcision in his local area. He was admitted to the operation room urgently. There was no significant bleeding, when the piece of cloth that had been used for tampon was untied. Initially, the necrotic tissue was removed, then circumcision and repair of the penile skin avulsion were performed. He was discharged two days after operation without any complication.

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Strangulation of the Penis by a Self-Circumcision Device

Cited by 9 publications

References 7 publications

Penile skin necrosis - complication following selfcircumcision

Penile skin necrosis - complication following selfcircumcision

Penile Incarceration Secondary to a Ring

A novel complication of self-circumcision: penile skin avulsion

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