Penile Entrapment Caused by Five Metallic Rings: A Case Report

Area of Science:

• Urology
• Emergency Medicine

Background:

• Penile strangulation is a rare urological emergency.
• It can lead to severe complications including ischemia, necrosis, and urethral injury.

Observation:

• A 76-year-old man presented with penile pain and swelling after applying five metallic rings for sexual enhancement.
• Initial attempts at ring removal failed due to significant edema, necessitating a ring cutter.
• The procedure took 90 minutes, with no observed lacerations or necrosis post-removal.

Findings:

• Successful removal of multiple metallic rings causing penile strangulation.
• Preserved penile perfusion despite significant edema and prolonged strangulation.

Implications:

• Highlights challenges in managing complex penile strangulation cases.
• Emphasizes the need for prompt evaluation, creative interventions, and multidisciplinary care.
• Stresses the importance of informing elderly individuals about risks of constricting devices during sexual activity.