Document Detail


Penile strangulation: two case reports and review of the literature.
MedLine Citation:
PMID:  17888068     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Entrapment or strangulation of the penis is a rare emergency situation that can lead to a wide range of vascular and mechanical injuries. AIM: The aim of this article is to present our experience dealing with penile strangulation. A review of the literature is also summarized in this report. Current treatment options and outcomes are also evaluated. METHODS: We performed a computerized MEDLINE search followed by a manual bibliographic review of cross-references. These reports were analyzed and the important findings summarized. RESULTS: Penile strangulation has been first time reported in 1755. Since that time, sporadic reports have appeared in the literature describing a variety of foreign bodies on the penis that have in common only the property of circularity. We noted motives, types of objects, types of strangulation, symptomatology, trauma grades, diagnoses, including psychological involvement, as well as possible treatment options. Furthermore, two cases of penile strangulation from our clinical practice are presented involving different degrees of vascular insult leading to different pathogenesis, clinical presentation, and surgical approach. CONCLUSION: Penile strangulation is an unusual clinical condition and the consequences can be severe. Penile strangulation could lead to different degrees of vascular obstruction. Consequently, several clinical syndromes can occur: from mild nonsignificant vascular obstruction that resolves after decompression to severe gangrene of the penis accompanied with impaired renal function. The most common motive associated with foreign bodies on the penis is sexual or erotic in nature. The choice of method for removal depends upon type, size, incarceration time, trauma grade, and availability of the equipment. Prompt diagnosis and early treatment are essential to avoid the potential complications of ischemic necrosis and autoamputation.
Authors:
Ognen Ivanovski; Oliver Stankov; Marjan Kuzmanoski; Skender Saidi; Saso Banev; Vanja Filipovski; Ljupco Lekovski; Zivko Popov
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-09-21
Journal Detail:
Title:  The journal of sexual medicine     Volume:  4     ISSN:  1743-6095     ISO Abbreviation:  -     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-10-31     Completed Date:  2008-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230693     Medline TA:  J Sex Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1775-80     Citation Subset:  IM    
Affiliation:
University Clinical Centre Skopje--Department of Surgery, Clinic of Urology, Skopje, Macedonia. o_ivanovski@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Constriction, Pathologic / etiology,  surgery
Foreign Bodies / etiology*,  surgery*
Gangrene / etiology,  surgery
Humans
Male
Middle Aged
Necrosis / etiology,  surgery
Penile Diseases / etiology*,  surgery*
Penis* / blood supply,  injuries,  surgery
Self-Injurious Behavior / complications
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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