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Removal of a strangulating metal bearing from the penis
1Division of Urology and Orthopedic Surgery, Watson Clinic, Lakeland, Florida.
The Journal of Urology
|March 1, 1989
Abstract:
A patient presented to the emergency room with a stainless steel bearing around the shaft of the penis. There was marked edema of the entire penis distal to the constricting steel ring. A circular saw attachment used for total joint arthroplasty was used to cut this metal ring successfully.
Insights
A patient required emergency intervention for a constricting stainless steel ring on the penis. A surgical saw successfully removed the foreign body, relieving penile edema.
Area of Science:
- Urology
- Emergency Medicine
- Medical Device Technology
Background:
- Penile strangulation by foreign objects is a rare urological emergency.
- Constriction can lead to severe edema, ischemia, and potential tissue necrosis.
- Prompt removal of constricting devices is critical to prevent long-term complications.
Observation:
- A patient presented with a stainless steel bearing constricting the penile shaft.
- Significant distal penile edema was noted due to the foreign body.
- The object was a rigid metal ring, posing a significant risk.
Findings:
- A circular saw attachment, typically used in orthopedic joint arthroplasty, was employed for removal.
- The surgical saw successfully sectioned the stainless steel ring.
- The foreign body was completely removed without further injury.
Implications:
- Highlights the importance of creative problem-solving in emergency surgical scenarios.
- Demonstrates the adaptability of surgical tools for non-standard applications.
- Emphasizes the need for specialized tools and techniques in managing complex penile emergencies.