Constrictive penile band injury: anatomical and reconstructive considerations

Cases of constrictive penile band injury are seen often in the emergency room, and most require only removal of the constriction and conservative management. Occasionally, patients present with long-standing constriction, necrosis of the penile tissue and urethral injury. We report 2 such cases. We believe that a thorough understanding of the penile anatomy, aggressive debridement, skin grafting and temporary urinary diversion are essential for successful management of these severe cases.