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Penoscrotal Strangulation Caused by a Steel Ring: A Case Report
Jiqing Zhang1, Xueming Wang2, Zhulin Li3
1Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Sexual Medicine
|April 5, 2017
Summary
Penoscrotal strangulation by a steel ring is rare but requires urgent intervention. Fire brigade assistance with hydraulic cutters enabled safe and rapid removal, preserving erectile function.
Area of Science:
- Urology
- Emergency Medicine
- Trauma Surgery
Background:
- Penoscrotal strangulation by constricting objects is an uncommon clinical presentation.
- Prompt management is crucial due to the risk of severe complications.
Purpose of the Study:
- To report a case of penoscrotal strangulation caused by a steel ring.
- To describe the successful removal of the constricting object.
Main Methods:
- A 28-year-old male presented with a 7-hour history of a steel ring constricting the penis and scrotum.
- Removal was achieved using hydraulic cable cutters by fire brigade personnel.
- The procedure was performed without complications.
Main Results:
- The use of hydraulic cable cutters facilitated rapid removal and avoided thermal injury.
- The patient experienced an uneventful recovery.
- Erectile function was restored within one week post-removal.
Conclusions:
- Genital incarceration necessitates urgent intervention, often requiring specialized tools not standard in medical departments.
- Interdisciplinary collaboration, including non-medical services, can provide effective solutions for foreign body removal in emergencies.
- This case highlights the utility of hydraulic cutters and external assistance in managing penoscrotal strangulation.