Engagement of Other Emergency Services in the Management of Penile Ring Entrapment

Walters, Uma; Gresty, Helena; El‐Husseiny, Tamer

doi:10.1016/j.urology.2021.02.015

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Section of a metal ring requires precision instruments[ 5 ]. If local equipment proves inadequate for urgent penile ring removal, collaboration between traumatologists, firefighters, and/or rescue team members is recommended[ 5 , 6 , 12 ]. In our case, the rings were removed using an orthopedic bolt cutter to cut each ring in two places, with a malleable retractor as a “backing” to prevent any iatrogenic injuries to the penis[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Penile and scrotal strangulation by stainless steel rings in an human immunodeficiency virus positive man: A case report

Usuda,

Kaminishi,

Kato

et al. 2023

World J Clin Cases

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Alzheimer’s disease (AD) is a progressive and neurodegenerative illness which results in alterations in cognitive development. It is characterized by loss/dysfunction of cholinergic neurons, and formation of amyloid plaques, and formation of neurofibrillary tangles, among other changes, due to hyperphosphorylation of tau-protein. Exposure to pesticides in humans occurs frequently due to contact with contaminated food, water, or particles. Organochlorines, organophosphates, carbamates, pyrethroids and neonicotinoids are associated with the most diagnosed incidents of severe cognitive impairment. The aim of this study was to determine the effects of these pesticides on the phosphorylation of tau protein, and its cognitive implications in the development of AD. It was found that exposure to pesticides increased the phosphorylation of tau protein at sites Ser198, Ser199, Ser202, Thr205, Ser396 and Ser404. Contact with these chemicals altered the enzymatic activities of cyclin-dependent kinase 5 and glycogen synthase kinase 3 beta, and protein phosphatase-2A. Moreover, it altered the expression of the microtubule associated protein tau gene, and changed levels of intracellular calcium. These changes affected tau protein phosphorylation and neuroinflammation, and also increased oxidative stress. In addition, the exposed subjects had poor level of performance in tests that involved evaluation of novelty, as test on verbal, non-verbal, spatial memory, attention, and problem-solving skills.

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Section: Discussionmentioning

confidence: 99%

Penile and scrotal strangulation by stainless steel rings in an human immunodeficiency virus positive man: A case report

Usuda,

Kaminishi,

Kato

et al. 2023

World J Clin Cases

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“…Penile rings are used to enhance sexual function by limiting blood outflow from the corpus cavernosum, effectively prolonging the erection [ 11 ]. However, penile ring entrapment is a serious medical emergency that can risk tissue loss if not managed appropriately [ 12 ]. According to our data, penile ring injuries were most common in patients ages 65 and older, presumably due to decreasing erectile function in this age group and need for assistance for prolonged erection.…”

Section: Discussionmentioning

confidence: 99%

Characterization of genital injuries secondary to foreign bodies from 2011 to 2020

Pandher¹,

Oparanozie²,

Song³

et al. 2023

Investig Clin Urol

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Purpose To identify demographic trends of foreign object genital injuries presenting to emergency departments from 2011 to 2020. Materials and Methods The National Electronic Injury Surveillance System database reports consumer product-related injuries in United States ED visits. The database was queried to identify 375 cases of genital injuries from 2011 to 2020. Inclusion criteria consisted of cases reporting injuries involving the urethra, penis, or scrotum. Data was reported and analyzed using linear regression. Results Based on 375 cases, an estimated 13,170 (95% confidence interval, 10,817–15,522) patients in the US suffered genital injuries due to foreign bodies between 2011 and 2020. These injuries involved the penis (65.9%), urethra (30.7%) and scrotum (3.5%). Of all patients, 11.8% required hospital admission after treatment of which injuries to the urethra were most common (44.0%). Most of these patients were ages 19 to 64 (66.1%). Consumer products most implicated included rings (50.7%), zippers (17.1%), and pens and pencils (10.3%). Injuries due to zippers and swimming apparel occurred significantly more frequently in patients ages 0–18 (p<0.05). Injuries due to kitchen gadgets occurred significantly more in patients ages ≥65 (p<0.05). Pens, pencils, and massage devices were items that routinely resulted in urethral injuries, often requiring hospitalization. Linear regression showed genital injuries related to foreign objects significantly increased from 2011 to 2020 (p<0.001). Conclusions Due to the nature of injury caused to genitalia by intentional and unintentional exposure to foreign bodies, educating individuals on this topic in sexual education classes is necessary for preventing future injuries.

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“…Penile ring incarceration, a rare urological emergency leading to ischemic necrosis of the penile skin and subsequent sexual dysfunction, has emerged in recent years. 1 , 2 Patients affected by this condition often delay seeking medical help due to privacy concerns, usually resulting in localized skin necrosis. The treatment approach is typically determined based on the extent and cause of the necrosis, as well as the patient’s overall health.…”

Section: Introductionmentioning

confidence: 99%

Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series

Xie

2024

Sexual Medicine

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Introduction The rise in the incidence of penile ring incarceration has led to additional cases of ischemic necrosis of the penile skin. Two laterally based scrotal pedicled flaps (LSPFs), noted for their rich blood flow and skin source, resemble penile skin and are the preferred donor sites for repairing such necrosis. Aims This study summarizes the outcomes of 2 LSPF grafts for the treatment of penile skin necrosis. Methods Data were collected from 5 patients with penile skin necrosis due to ring incarceration who sought treatment at Ankang Central Hospital between 2012 and 2023. Results All patients exhibited varying degrees of necrosis in the urethral corpus cavernosum and the penis’s anterior tip. Two LSPFs were used for wound repair, with direct suturing of the donor site. None of the 5 patients experienced flap necrosis postsurgery, and they regained normal urination function. The patients reported satisfaction with both the aesthetic and functional results. Conclusion Two LSPF grafts are an effective approach for repairing penile skin defects. They reliably cover necrotic penile skin defects, prevent further wound progression, preserve penile structure, and improve patients’ life quality.

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Engagement of Other Emergency Services in the Management of Penile Ring Entrapment

Cited by 3 publications

References 3 publications

Penile and scrotal strangulation by stainless steel rings in an human immunodeficiency virus positive man: A case report

Penile and scrotal strangulation by stainless steel rings in an human immunodeficiency virus positive man: A case report

Characterization of genital injuries secondary to foreign bodies from 2011 to 2020

Two laterally based scrotal pedicled flap grafts in the treatment of penile skin necrosis due to ring incarceration: a case series

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