A Rare Case of Penile Strangulation Managed by Orthopedic Jumbo Cutter

Abstract

Penile strangulation is not commonly encountered in orthopedic practice. Quick decision and immediate removal of the metallic ring with readily available instruments is the key to a successful outcome. Jumbo cutter is a commonly available instrument. It can be used with ease without causing any thermal or soft tissue damage, giving satisfactory results.

Penile strangulation by a metallic nut in an 8-year-old male: A rare case report of urological emergency

“…The management of the penile strangulation depends on the type of constricting object, time from onset of strangulation, severity of injury, available instrument and experience of the surgeon [ 5 , 15 ]. Metallic objects are challenging to remove as they require industrial metallic cutting devices which may not be available in the hospital [ [5] , [6] , [7] ]. Furthermore, due to rarity of occurrence most surgeons have no experience in removing metallic penile objects.…”

“…Penile strangulation may result from objects such as metal rings, bands, pipes, bottles, threads of metal or plastic or latex of all shapes and sizes [ [5] , [6] , [7] , [8] ]. In children usually is due to typical objects such as rubber bands, threads or hair [ 1 , [9] , [10] , [11] ].…”

“…In children usually is due to typical objects such as rubber bands, threads or hair [ 1 , [9] , [10] , [11] ]. Non-metallic objects usually are easy to remove while metallic objects are difficult to remove and usually result in penile damage [ 5 ].…”

“…Early removal of these objects from strangulated penis is of paramount importance as it will prevent progression of compartment syndrome. However, most of the time surgical approach for metallic objects require industrial devices that may not be readily available in urology theatres, nonetheless the skills and expertise to use them [ 5 ].…”