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[Penile incarceration by a steel ring]
María José Donate Moreno1, José Miguel Giménez Bachs, José Mará Pastor Guzmán
1Servicio de Urologia, Complejo Hospitalario y Universitario de Albacete, Albacete, España. donajiu@ono.com
Objectives:
To report a new case of penile incarceration by a metallic object.
Methods:
28-year-old male presenting to the emergency room with a ring at the medial part of the penis that he was unable to remove. The ring was placed 16 hours before. Such incarcerating object was causing important oedema, a small plate of necrosis, and hypoesthesia of the glans penis.
Results:
After many unsuccessful attempts the penis was finally released using a strong cutting tool. The wound was cleaned with removal of devitalized tissue and sutured. Twenty-four hours later the penis looked almost normal, although patient complained of slight hypoesthesia at the glans penis.
Conclusions:
Incarceration of the penis by a metallic object is an unusual clinical situation causing a vascular emergency and an incredible therapeutic challenge to remove the constructive object.
Insights
A metallic ring caused penile incarceration, leading to swelling, tissue damage, and numbness. Surgical removal was successful, with near-complete recovery, highlighting this rare medical emergency.
Area of Science:
- Urology
- Emergency Medicine
- Trauma Surgery
Background:
- Penile incarceration by foreign objects is a rare but serious condition.
- Prompt intervention is crucial to prevent severe complications such as tissue necrosis and permanent functional impairment.
Observation:
- A 28-year-old male presented with a metallic ring constricting the penis for 16 hours.
- The incarceration resulted in significant penile edema, a small area of necrosis, and glans hypoesthesia.
Findings:
- Surgical release of the penile incarceration was achieved using a specialized cutting tool after failed attempts.
- Wound management included debridement of necrotic tissue and primary closure.
- Post-operative assessment at 24 hours showed significant improvement, with residual mild hypoesthesia of the glans penis.
Implications:
- This case underscores the vascular emergency and therapeutic challenges associated with metallic object penile incarceration.
- Effective management requires prompt diagnosis, specialized tools, and meticulous surgical technique to salvage penile function.
- Increased awareness among healthcare professionals is vital for managing such unusual urological emergencies.
