Related Experiment Video
Updated: May 25, 2026
Optimizing the Modified No-Scalpel Vasectomy Technique
Published on: October 18, 2024
Novel extraction technique to remove a penile constriction device
Darren J Katz1, Warren Chin, Sree Appu
1Department of Urology, Monash Medical Centre, Southern Health, Melbourne, Australia. drdjkatz@gmail.com
Introduction:
Penile strangulation can be a challenging clinical situation and usually requires prompt treatment. The clinician should be aware of the various techniques to remove such devices.
Aim:
The aim of this article was to describe a new noninvasive technique, the "pseudo-pulley" method, to remove a penile constriction device.
Methods:
During an episode of medication-induced hypersexuality, a 63-year-old man presented to the emergency department with a cast iron locking nut of a vehicle towbar lodged at the base of the patient's penis.
Results:
The utilization of the "pseudo-pulley" method to remove the constriction device negated the need for more invasive measures. We outline a step-by-step description on this new technique. The patient's recovery was complete and uneventful.
Conclusion:
The current case report describes a noninvasive technique for removing a penile constriction device that does not rely on specialized equipment and industrial drills that can cause iatrogenic injury.
