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[Self-inflicted penile strangulation].

T Nelius¹, S Filleur

¹Texas Tech University Health Sciences Center, Department of Urology.

Aktuelle Urologie

|November 10, 2009

Summary

Penile constriction injuries from foreign objects can cause severe swelling and necrosis. Prompt surgical removal and supportive care are crucial for preserving penile function and preventing complications like urethral strictures.

Area of Science:

Urology
Emergency Medicine
Trauma Surgery

Background:

Constricting devices are misused for sexual enhancement or autoeroticism.
These devices can lead to severe penile complications including edema, infection, Fournier gangrene, and necrosis.

Observation:

A 22-year-old male presented with penile pain and voiding issues due to a foreign object (frying pan handle) constricting the penis.
Physical examination revealed significant penile edema and distal necrosis.

Findings:

Surgical removal of the foreign object under local anesthesia was successful.
The patient required a suprapubic catheter, antibiotics, and antiseptic local therapy.
Follow-up urethrogram showed normal caliber without strictures; the glans penis showed near-complete epithelialization.

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Implications:

Immediate decompression is vital for strangulated penises to restore blood flow and urination.
Management requires specialized instruments and tailored therapies based on complications.
Timely intervention can prevent long-term sequelae such as urethral strictures.