Introduction: Penile 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 Presentation: Despite 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.
Conclusion: Early management of penile strangulation is vital in order to prevent vascular and mechanical complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758896 | PMC |
| http://dx.doi.org/10.1002/iju5.12663 | DOI Listing |
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