Document Detail


Strangulation of penis by a ball bearing device.
MedLine Citation:
PMID:  20646187     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: Penile strangulation is rare and usually results following placement of constricting objects to enhance sexual stimulation. It requires urgent treatment as delay may lead to irreversible penile ischemia and gangrene. Various objects causing penile strangulation have been reported. Nonmetallic and thin metallic objects can be removed easily as compared to heavy metallic objects. Cutting is the commonest method described, although procuring special cutting tools may be difficult and the process of cutting may be tedious with the possibility of iatrogenic penile injury.
AIM: To present a simple, safe, minimally invasive, effective, and feasible technique for removing heavy metallic objects constricting the penis.
METHODS: The published English literature (PubMed™) was searched for cases of "penile strangulation" using the keywords penile strangulation, penile injury, penile trauma, penile constriction, penile entrapment, and penile incarceration. The described treatment modalities were carefully reviewed and studied.
MAIN OUTCOME MEASURES: Reviewed published English literature on the various causes of penile incarceration and the various techniques used for their extrication.
RESULTS: Search results yielded several cases of penile strangulation caused by a variety of metallic and nonmetallic objects. Various modalities have been described in the English literature for their safe removal, each with its own merits and demerits.
CONCLUSIONS: Penile strangulation should be viewed and managed as an emergency in order to prevent penile necrosis and urethral injury and to preserve erectile function. The modified method described herein for managing penile strangulation due to heavy metallic rings is minimally invasive, safe, effective, does not require any special cutting instrument(s) or skill, and is free of causing iatrogenic collateral thermal or mechanical damage to the penile organ. A stepwise algorithm depicting a rational and comprehensive approach to the diagnosis and management of penile incarceration is also suggested for the clinicians.
Authors:
Iqbal Singh; Mohit K Joshi; Maninder S Jaura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of sexual medicine     Volume:  7     ISSN:  1743-6109     ISO Abbreviation:  J Sex Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101230693     Medline TA:  J Sex Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3793-7     Citation Subset:  IM    
Copyright Information:
© 2010 International Society for Sexual Medicine.
Affiliation:
Division of Urology (Surgery), University College of Medical Sciences (University of Delhi) & GTBH, Delhi, India. iqbalsinghp@yahoo.co.uk
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