Emergency management of penile strangulation: a case report and review of the Chinese literature

Xu, Tianming; Gu, Minkyung; Wang, H

doi:10.1136/emj.2008.062877

Cited by 21 publications

(21 citation statements)

References 4 publications

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“…Rarely, systemic complications such as pyelonephritis, acute kidney injury, postobstructive diuresis and sepsis have also been reported 3. Interestingly, a positive correlation between time of incarceration and length of hospital stay has been noted 4. Embarrassment is often quoted as the main reason for the delay in seeking medical advice.…”

Section: Discussionmentioning

confidence: 99%

Penoscrotal entrapment: a safe, innovative technique for removing metal constricting devices

Batra

Al-Akraa

et al. 2012

BMJ Case Reports

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SummaryPenoscrotal entrapment is a rare urological emergency that requires urgent treatment to avoid penile ischaemia and subsequent erectile dysfunction. Non-metallic and thin metallic objects are easily removed via cutting, while thick metallic constricting devices require specialist saws or motorised cutters, all of which may be difficult to locate in the emergency setting. We report a case of a 45-year-old patient who presented with a 48-h history of gross penoscrotal oedema secondary to entrapment by a thick metal ring (internal diameter 55 mm, external diameter 74 mm and thickness 19 mm). The positioning, thickness of the ring, delayed presentation and extensive oedema meant its removal was especially challenging. We improvised a simple, three-step technique (aspiration, strapping and sling) which enabled the metal ring to be removed without the need for specialist equipment. We would encourage others to employ this safe technique in an emergency setting. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Penoscrotal entrapment: a safe, innovative technique for removing metal constricting devices

Batra

Al-Akraa

et al. 2012

BMJ Case Reports

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“…Furthermore, cutting the metallic object is a time-consuming process [38]. Cutting tools described are an iron saw, orthopedic equipment, and a high-speed diamond-tipped dental drill [40, 41]. …”

Section: Etiologies and Classificationsmentioning

confidence: 99%

“…Another useful method is using a string with a glandular puncture, which is easier and quicker than the previous methods [40, 41]. However, in cases of combining with the foreskin edema, decompression with puncture both on foreskin and glandular lesion should be performed [40, 41]. …”

Section: Etiologies and Classificationsmentioning

confidence: 99%

Traumatic Penile Injury: From Circumcision Injury to Penile Amputation

Kim

Park

Song

2014

BioMed Research International

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The treatment of external genitalia trauma is diverse according to the nature of trauma and injured anatomic site. The classification of trauma is important to establish a strategy of treatment; however, to date there has been less effort to make a classification for trauma of external genitalia. The classification of external trauma in male could be established by the nature of injury mechanism or anatomic site: accidental versus self-mutilation injury and penis versus penis plus scrotum or perineum. Accidental injury covers large portion of external genitalia trauma because of high prevalence and severity of this disease. The aim of this study is to summarize the mechanism and treatment of the traumatic injury of penis. This study is the first review describing the issue.

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“…Accounts in medical literature have placed around the penis since described various metallic and nonmetallic objects, mostly for autoerotic or performance enhancement purposes. The time from incarceration to require medical attention can range from hours to weeks and directly correlates with hospital stay [3,4]. Complications vary from mild vascular obstruction, urethral strictures and fistulas to severe gangrene, septic shock and death [5].…”

Section: Casementioning

confidence: 99%