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[Strangulation of the penis by a ring].
Hinyokika Kiyo. Acta Urologica Japonica
|October 1, 1987
Summary
A man experienced penile strangulation from a constricting ring, leading to severe edema and gangrene. Doctors successfully removed the ring using a drill, saving the penis from amputation and preserving function.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile strangulation is a rare but serious condition.
- Delayed presentation can lead to severe complications, including tissue necrosis.
Observation:
- A 42-year-old male presented with urinary retention and penile edema due to a constricting stainless steel ring.
- The ring caused significant tissue damage, with gangrenous changes superficial to Buck's fascia.
Findings:
- Conservative management involving a high-speed drill successfully severed the constricting ring.
- Surgical debridement and single-layer closure were performed.
- The patient experienced slow wound healing with a temporary urethral fistula, which resolved spontaneously.
Implications:
- This case highlights the successful use of a high-speed drill for ring removal in severe penile strangulation.
- Preservation of penile function is possible even in cases with extensive tissue damage.
- Prompt intervention and conservative measures can avert amputation.