Penile strangulation: report of two unusual cases
1Department of Emergency Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore. chee_kheong_ooi@ttsh.com.sg
Abstract:
We report two cases of penile strangulation that presented to our emergency department. In the first case, a 60-year-old man, the object of strangulation was a metallic ring that was extricated using an orthopaedic cutter in the operating theatre. The patient recovered uneventfully. In the second case, a 77-year-old man, the object of strangulation was a plastic bottle, which was extricated using surgical instruments in the emergency department, but the patient subsequently developed postobstructive diuresis. The first case illustrates the difficulty that may be encountered in this delicate yet urgent situation, while the second case reports a rare complication.
Insights
Penile strangulation cases highlight challenges in object removal and a rare complication. Prompt intervention is crucial for patient recovery and preventing adverse outcomes.
Area of Science:
- Urology
- Emergency Medicine
- Surgical Case Reports
Background:
- Penile strangulation, a rare condition, necessitates urgent medical intervention.
- Foreign body insertion causing penile strangulation presents unique clinical challenges.
Observation:
- Two cases of penile strangulation are presented: one involving a metallic ring and the other a plastic bottle.
- The metallic ring required orthopedic surgical intervention, while the plastic bottle was removed in the emergency department.
Findings:
- Successful extrication of the metallic ring led to an uneventful recovery.
- The plastic bottle removal resulted in a rare complication of postobstructive diuresis.
Implications:
- These cases underscore the importance of specialized techniques for foreign body removal in penile strangulation.
- Recognizing and managing potential complications like postobstructive diuresis is critical for patient outcomes.
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