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Successful removal of metal objects causing penile strangulation by a silk winding method
Chuanjiang Dong1, Ziqiang Dong, Fei Xiong
1Department of Urology, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang 443003, China.
Case Reports in Urology
|November 30, 2013
Summary
Penile strangulation by foreign objects requires prompt decompression. A novel silk winding and subcutaneous puncture technique offers a simple, effective, and safe method for object removal, minimizing iatrogenic injury.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Penile strangulation presents a significant urological challenge.
- Timely decompression is crucial to avert long-term penile complications.
- Removal of constricting foreign bodies, especially metal, is often difficult and carries risks.
Purpose of the Study:
- To present a novel, simple, and effective method for removing penile constricting foreign bodies.
- To reduce the risks associated with traditional cutting techniques for object removal.
Main Methods:
- A silk winding technique was employed for penile decompression.
- Subcutaneous puncture was utilized in conjunction with silk winding for foreign body extraction.
- This method was developed as an alternative to conventional surgical cutting.
Main Results:
- The described silk winding and subcutaneous puncture method facilitates straightforward foreign body removal.
- This technique potentially mitigates the time-consuming nature and risk of iatrogenic injury associated with cutting methods.
- The approach offers a viable alternative for managing penile strangulation cases.
Conclusions:
- The silk winding and subcutaneous puncture technique provides a simple and safe approach to penile foreign body removal.
- This method addresses the challenges posed by difficult-to-remove objects and reduces the potential for operative complications.
- Urologists can consider this technique as an effective management strategy for penile strangulation.

