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Using a fretsaw in treating chronic penial incarceration: A case report
Yi Zhao1, Xiao-Qiang Xue1, Hou-Feng Huang1
1Department of Urology, Peking Union Medical College Hospital, Beijing 100730, China.
World Journal of Clinical Cases
|January 31, 2022
Summary
Penile incarceration, a rare condition, requires prompt treatment. This case highlights successful intervention for chronic penile incarceration using a fretsaw, offering insights for managing similar emergencies.
Area of Science:
- Urology
- Emergency Medicine
Background:
- Penile incarceration (PI) is a rare urological emergency.
- It typically results from constricting objects at the penile base, often requiring immediate intervention.
- Chronic PI cases are infrequently documented, necessitating further discussion on effective treatment strategies.
Observation:
- A 73-year-old male presented with penile incarceration of three months duration due to a metallic hoop.
- The patient underwent a successful surgical intervention utilizing a fretsaw after multidisciplinary consultation.
- This case represents the longest reported duration of strangulation in penile incarceration.
Findings:
- Surgical tool selection for PI depends on object material, equipment availability, and injury severity.
- Urinary function can be preserved even after prolonged incarceration, as demonstrated in this case.
- A fretsaw, though slow, is a safe and effective tool for treating metallic penile incarceration.
Implications:
- This case provides valuable insights for managing chronic and complex penile incarceration scenarios.
- Multidisciplinary evaluation and careful preoperative planning are crucial for optimal patient outcomes.
- The successful use of a fretsaw broadens the options for treating metallic constrictions in penile emergencies.
