RESUMO
Penile strangulation due to the metallic ring is an uncommon clinical entity that requires urgent attention to prevent irreversible nerve damage, and if neglected gangrene of the penis. Various methods have been described in the literature for removing constricting foreign bodies, but there is no consensus regarding an acceptable technique. We report the case of a 51-year-old man with a history of a metal ring used for sexual pleasure lodged over the shaft of his penis with an inability to remove the same.
RESUMO
@#Complications arising from simple surgical procedures such as circumcision are uncommon. When a person devoid of surgical training performs these procedures, severe problems usually occur. This is a rare case of a 23-year-old, Filipino male with severe penile shaft erosion secondary to chronicpenile strangulation from complications of circumcision. A two-stage procedure was planned for this patient involving removal of the constricting object, debridement and anastomosis of the penile shaft. Postoperatively, there was good penile erectile function and an aesthetically acceptable form.
RESUMO
@#This case report discusses penile strangulation caused by a ball bearing of a fidget spinner in a 9 year - old child. Initial examination revealed a 2 cm x 2 cm metallic ball bearing encircling the base of the penis with gross edema of the distal penile shaft and erythematous penile skin. To release the bearing, a modified string method was used. After removal, skin erosion was treated with debridement and applied with hydrocolloid dressing. Analysis and cross referencing of the case with literature suggest that successful extraction of a constricting object and treatment of penile strangulation, due to the varied nature, causes and effects of penile strangulation, greatly depends on immediate diagnosis and treatment. This spares one from immediate and long term complications, or necrosis with subsequent auto-amputation.