Genital incarceration: an unusual case report

Area of Science:

• Urology
• Emergency Medicine
• Surgical Techniques

Background:

• Penile incarceration and strangulation are rare urologic emergencies.
• Prompt intervention is crucial to prevent severe complications like tissue necrosis.
• Existing methods for foreign body removal lack universal success.

Purpose of the Study:

• To report a unique case of penile and scrotal incarceration by multiple metallic rings.
• To describe the operative management of this complex clinical scenario.
• To highlight an alternative technique for foreign body removal in challenging cases.

Main Methods:

• A case presentation of a patient with penile and scrotal incarceration.
• Surgical intervention involving operative removal of multiple metallic rings.
• Utilized an orthopedic high-speed drill for foreign object extraction.

Main Results:

• Successful removal of all metallic rings.
• Preservation of penile and scrotal viability.
• Avoidance of amputation or further reconstructive surgery.

Conclusions:

• The orthopedic high-speed drill can be an effective tool for managing complex penile and scrotal foreign body incarceration.
• Multidisciplinary approaches may be necessary for rare and challenging urologic emergencies.
• This case expands the armamentarium for managing genital strangulation.