Penile trauma is the most complex, diverse and hard to rehabilitate injury. The reasons are anatomical structure and localization of the organ and its multifunctionality. Penile strangulation is the most common and typical type of genital injury; incidence is 1 case per 5,000 males. However, urologists in their practice rarely encounter penile strangulation with a metal ring. Some objects, metallic or other, can be placed on the penis to increase sexual activity. We describe a clinical case of a 70-year-old patient who sought medical care at the emergency room due to penile strangulation by a metal ring (a nut). The patient sought assistance 3 days after putting the metal ring on his penis by himself.
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