Strangulation of the phallus by metallic ring is an uncommon emergency in our environment however its presentation requires urgent intervention and treatment. There is a need to remove any entrapped ring by the most efficient method with minimal complications. We present a case of phallic strangulation caused by metal ring insertion in a known drug addict. The metallic ring was successfully removed using a metal clamp. Phallic strangulation by metallic ring can be properly managed using available mechanical tool in a timely manner in an emergency setting.

Fractured penis is reported as a traumatic rupture of the tunica albuginea by following blunt injury to an upright penis. Though a rare urological emergency due to blunt trauma to a turgid penis. The rupture of the tunica albuginea is often single involving either of the two corpora cavernosa; however concomitant urethral injury is an exceptionally infrequent condition requiring primary urethral anastomosis. Many of the patients are likely to have urethral strictures following surgery. Buccal mucosal graft is repeatedly used for substitution urethroplasty in urethral stricture management; however, its use is not commonly reported for immediate treatment in the background of fractured penis. Herewith is the report of a 33-year-old male with rupture of both corpora cavernosa, as well urethral rupture, after coitus. The urethral injury was repaired using buccal mucosal graft. At follow-up, patient did not encounter erectile or voiding issues. The implementation of this technique would go a long way at ameliorating the occurrence of urethral strictures in these subsets of patients, however there is still room for larger sample-sized prospective studies in the future. Consistent with our index case, surgery for the fractured penis is expedient with a view to conserving urethral and sexual function.