Case reportPenile strangulation treated with the modified string method
Section snippets
Case 1
A 38-year-old man came to the emergency room complaining of being unable to remove a metal bearing from his penis. He had placed the bearing on his penis 5 hours earlier. Physical examination of the penis revealed a moderately edematous glans. The bearing was situated at the coronal sulcus (Fig. 1). The glans penis was hard in consistency, dark purplish, and had diminished sensation. We administered 10 mL of 1% lidocaine circumferentially in the penile shaft as a local anesthesia. With an
Comment
Entrapment of the penis by an encircling object leads to swelling of the penis distal to the object due to the initial blockage of the venous return and arterial supply. After several hours, penile strangulation can result in ischemic necrosis and fibrosis of the tissue. It therefore requires urgent treatment. If the constricting object is nonmetallic or thin, it can be easily cut off, but thick, hardened steel is very difficult to remove with a chisel, saw, or cutter. There are many methods
References (11)
- et al.
Penile entrapment in a plastic bottle
J Urol
(2003) - et al.
Treatment of penile strangulation caused by constricting devices
Urology
(2002) - et al.
Removal of a strangulating metal bearing from the penis
J Urol
(1989) - et al.
A method of treatment for incarceration of the penis
J Urol
(1969) - et al.
Treatment of penile incarceration by the string method2 case reports
J Urol
(1993)