Management of penile incarceration

Area of Science:

• Urology
• Medical Device Technology
• Emergency Medicine

Background:

• Penile incarceration, a rare urological emergency, involves constricting objects around the penis.
• Foreign bodies, particularly metallic ones, pose significant risks due to vascular compromise and tissue damage.

Observation:

• A young male presented with penile incarceration due to two steel bushings.
• The bushings severely compromised penile vascular supply, necessitating urgent intervention.

Findings:

• Successful surgical removal of the steel bushings was achieved using a carbide disk dental drill.
• The minimally invasive approach facilitated the extraction of the foreign bodies.

Implications:

• This case demonstrates the utility of specialized dental equipment in managing complex penile foreign body retrievals.
• Establishing clear management guidelines for penile incarceration is crucial for optimal patient outcomes and preventing long-term sequelae.