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The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more pigmented, and hairless. While the...
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Foreskin trapped by zipper: a case report.

Miguel Angel Arrabal-Polo1, Salvador A Arias-Santiago, Maria Sierra Giron-Prieto

  • 1Department of Urology, San Cecilio University Hospital (Avenida Doctor Oloriz 18), Granada (18012), Spain. arrabalp@ono.com

Cases Journal
|October 16, 2009
PubMed
Summary

An 84-year-old male experienced a rare zipper entrapment of the foreskin. An elliptic incision was successfully used to resolve the penile emergency when other methods failed.

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Area of Science:

  • Urology
  • Emergency Medicine
  • Trauma Surgery

Background:

  • Penile entrapment, particularly of the foreskin, is uncommon in adult males.
  • Zipper entrapment represents a specific type of penile trauma that requires prompt management.

Observation:

  • An 84-year-old male presented with his foreskin trapped in a zipper.
  • Initial attempts using common tools like scissors and a screwdriver were unsuccessful.

Findings:

  • An elliptic incision of the foreskin was performed as a definitive treatment.
  • This surgical approach successfully resolved the zipper entrapment.

Implications:

  • This case highlights an unusual presentation of penile trauma in an adult.
  • It underscores the need for a range of management techniques for foreskin entrapment, including surgical intervention when conservative methods fail.