Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

Jiqing Zhang, MD; Xueming Wang, MD; Zhulin Li, MD; Junhui Zhang, MD; Xiaodong Zhang, PhD, MD; Nianzeng Xing, PhD, MD

doi:10.1016/j.esxm.2017.02.004

Sexual Medicine (Jun 2017)

Penoscrotal Strangulation Caused by a Steel Ring: A Case Report

Jiqing Zhang, MD,
Xueming Wang, MD,
Zhulin Li, MD,
Junhui Zhang, MD,
Xiaodong Zhang, PhD, MD,
Nianzeng Xing, PhD, MD

Affiliations

Jiqing Zhang, MD: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Xueming Wang, MD: Department of Emergency, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Zhulin Li, MD: Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Junhui Zhang, MD: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Xiaodong Zhang, PhD, MD: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
Nianzeng Xing, PhD, MD: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China

DOI: https://doi.org/10.1016/j.esxm.2017.02.004
Journal volume & issue: Vol. 5, no. 2
pp. e131 – e133

Abstract

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Introduction: Strangulation of the penis and scrotum by a constricting object has been rarely reported. Aim: To describe a man with penoscrotal strangulation caused by a steel ring and its successful removal. Methods: A 28-year-old man presented to the emergency department with a 7-hour history of a steel ring lodged at the base of his penis and scrotum. Removal was accomplished with the assistance of fire brigade personnel who used their hydraulic cable cutter to shear the ring. During the removal, there were no complications. Results: The hydraulic cable cutter avoided thermal injury and shortened removal time compared with procedures described in the literature. The patient's recovery was uneventful, with erectile function restored after 1 week. Conclusion: Genital incarceration is an urgent clinical situation requiring prompt treatment. However, suitable tools for removing the foreign object are not readily available in emergency and urology departments. Cooperation with other disciplines, even non-medical disciplines, can result in creative and timely measures for removal of the object. Zhang J, Wang X, Zhang J, et al. Penoscrotal Strangulation Caused by a Steel Ring: A Case Report. Sex Med 2017;5:e131–e133.

Published in Sexual Medicine

ISSN: 2050-1161 (Online)
Publisher: Oxford University Press
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://academic.oup.com/smoa

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