Penile strangulation injury by metallic ring: A study of 4 cases. (March 2021)

• Record Type: Journal Article
• Authors: Noegroho, Bambang Sasongko; Siregar, Safendra; Ramdhani, Rizky; Partogu, Bernard; Mustafa, Akhmad
• Is Part Of: International journal of surgery case reports. Volume 80(2021)
• Publication Date: 2021-03
• Subjects: Penile strangulation -- Metallic ring -- Paraphilia; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2021.01.103
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Penila strangulation required emergency management to preserve the organ function. Each case managed individually according to its clinical finding and operative settings. Management depends on the type and size of constricting object, time after incarceration, degree of injury, available instrument, and experience of the physicians. Different methods and tools may arise due to circumstance and individual cases differences. Surprisingly, there is no erection problem after removing the strangulation. Abstract: Penile strangulation by metallic ring is an emergency situation which requires urgent management. Strangulation of the penis usually performed in order to increase sexual performance or because underlying mental disorder or paraphilia. It is an uncommon urological emergency, if not treated as soon as possible it can lead to complications such as gangrene and amputation of the penis. There is no standard of care that has been found to be superior, with each case managed individually according to its clinical findings and operative settings. In this study, we present four cases of penile strangulation in last two years in a tertiary care hospital.