Penile strangulation is a rare pediatric urology emergency. A 13-year-old boy with no psychiatric history was referred to the university hospital 2 h after a metallic ring was self-placed over his penis. Under general anesthesia, a Gigli saw cut the cockring in two places. The patient was discharged home on postoperative day 1. He neither attended a consultation at the one-month follow-up nor saw a psychiatrist. Thirteen similar cases have been reported in children since 1975. We were the first team to use a Gigli saw in a child in our department.
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http://dx.doi.org/10.1016/j.jpurol.2023.08.012 | DOI Listing |
Cureus
October 2024
Department of Urology, Chutoen General Medical Center, Kakegawa, JPN.
We report a case of penile strangulation by a plastic band with an unknown time of onset. A 61-year-old man was brought to the emergency department with complaints of painful edematous swelling of the penis caused by a plastic band. The patient had an intellectual disability and, thus, difficulties were associated with obtaining a detailed medical history, including the time of onset.
View Article and Find Full Text PDFIn this case report, we present two clinical cases of penile strangulation caused by a bottleneck at the base of the penis. In the first case, corporal aspiration was used to decrease the blood that is trapped in the corpora due to the constriction. A rotating saw was used to incise the bottleneck in a full-thickness manner.
View Article and Find Full Text PDFPenile injuries from self-inflicted strangulation or garroting are uncommon. Children are more likely than young adults or elderly patients to sustain such injuries. Numerous foreign things, including hair, thread, rubber bands, metallic rings, nuts, and vacuum erection devices, have been reported to be used for garroting in the literature search.
View Article and Find Full Text PDFUrol Case Rep
July 2024
Department of Urology, University of California, San Diego, La Jolla, CA, USA.
Penile strangulation secondary to utilization of a constrictive ring is a rare urologic emergency that requires urgent decompression to prevent prolonged vascular obstruction resulting in necrosis and gangrene. Current literature is mainly comprised of case presentations that focus on management in the acute setting via removal of the ring. Herein, we describe surgical management of a patient who presents in delayed fashion after self-removal of the constrictive ring.
View Article and Find Full Text PDFAnn Med Surg (Lond)
June 2024
Department of Urology, University of Sousse, Faculty of medicine, Ibn El Jazzar Hospital, Kairouan, Tunisia.
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.
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