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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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Grade I and Grade II Penile Strangulation From a Plastic Bottleneck.

Robin Z Cheng1, Wei-Shin Lu1, Srigita K Madiraju1

  • 1Urology, The University of Toledo College of Medicine and Life Sciences, Toledo, USA.

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|November 13, 2024
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Summary

Penile strangulation cases were treated using novel techniques. Corporal aspiration with a rotating saw and ring cutter use effectively resolved constrictions, ensuring patient recovery.

Keywords:
corporal aspirationpenile strangulationpenile strangulation gradingring cutterrotating saw

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Area of Science:

  • Urology
  • Emergency Medicine

Background:

  • Penile strangulation is a rare condition requiring urgent intervention.
  • Constriction at the penile base can lead to severe complications if not promptly managed.

Observation:

  • Two cases of penile strangulation due to a bottleneck at the penile base are presented.
  • Case 1 involved a plastic bottleneck, managed with corporal aspiration and a rotating saw.
  • Case 2 utilized a ring cutter to extricate the bottleneck without further injury.

Findings:

  • Corporal aspiration reduced trapped blood, facilitating incision with a rotating saw in the first case.
  • The combined approach in Case 1 was novel, with no prior reports of simultaneous use.
  • A ring cutter proved effective in Case 2, preventing additional lacerations.

Implications:

  • These case reports introduce innovative and effective methods for managing penile strangulation.
  • Corporal aspiration combined with a rotating saw offers a unique solution for complex constrictions.
  • Ring cutters provide a safe and efficient alternative for bottleneck removal.