Successful removal of strangulating metal penile ring using a dental handpiece

Etetafia, Mabel O.; Nwajei, Charles Onochie

doi:10.1136/bcr-2014-205030

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…As the constricting objects involved are variable, physicians must be creative and resourceful because a given technique may be neither applicable nor available in each case. The methods and tools used to successfully remove constricting objects range from aspiration of the corpora cavernosa to the string method, use of saws, orthopedic saws, and industrial pliers [ 6 , 7 , 11 , 18 – 21 ]. Additionally, depending on the entrapment degree and distal edema caused by the encircling penile object, releasing it may be challenging.…”

Section: Discussionmentioning

confidence: 99%

Use of dental drill handpiece to remove steel nut causing penile strangulation: a case report and review of the literature

et al. 2022

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Background Penile strangulation is an uncommon urological emergency that requires prompt intervention to avoid potentially serious sequelae including loss of the distal penis secondary to ischemia and subsequent gangrene. We present a case report of a patient who presented to the hospital with penile strangulation injury of 10-hour duration secondary to the presence of a thick hexagonal steel nut. This case is presented in accordance with Consensus Surgical Case Report guidelines. Case presentation A 24-year-old Vietnamese man presented to the emergency room with urinary retention and decreased penile sensation following a 10-hour history of penile strangulation due to the presence of a thick hexagonal steel nut that he had placed around the shaft of the penis for the purpose of sexual enhancement during masturbation. The hexagonal nut was tightly entrapping the penile shaft, resulting in edema, congestion, and swelling of the distal 5 cm of the phallus. Given the thickness of the foreign body as well as the degree of penile swelling, we were unable to remove the hexagonal nut using traditional methods of alleviating penile strangulation injuries. Following consultation with a dental colleague, a dental diamond drill handpiece was utilized to cut the foreign body without injury to the underlying penile skin. Subsequent follow-up in clinic demonstrated no significant urinary or sexual sequalae from this episode. Conclusion We report a case of penile strangulation requiring novel instrumentation and collaboration for successful treatment.

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Section: Discussionmentioning

confidence: 99%

Use of dental drill handpiece to remove steel nut causing penile strangulation: a case report and review of the literature

et al. 2022

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“…The fire department assisted, using an electric-powered angle grinder to facilitate removal of the ring, because standard medical equipment (orthopedic saws, and bolt and bone cutters) had proven inadequate[ 3 ]. In addition, under emergency conditions, a dental handpiece can prove useful as a tool for the removal of a strangulating penile ring[ 13 ].…”

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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“…These patients usually present late due to shame and regret, especially in India. 1,2 Cutting is the most common method described for the removal of these rings. Nonmetallic and thin objects are easy to remove.…”

Section: Discussionmentioning

confidence: 99%

Impacted Ring in the Penis: A Crisis Rescued by Plier

Chauhan

Rana

Kumar

et al. 2021

Journal of Health and Allied Sciences NU

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A trapped penile ring is a urological emergency rarely seen. An impacted ring in penis is a real emergency uncommonly faced by a urologist. Emergent removal of the penile ring is indicated to prevent gangrene and damage to the penis. The insertion of these rings for autoerotic purposes is not uncommon. However, this can lead to impacted, stuck articles, rings in the penis. These patients present with symptoms ranging from mild penile pain, swelling to gangrenous changes in the penis. The removal of ring constricting penis is a penile-saving procedure. We describe a patient with a stuck ring in the penis and the technique of removal of the impacted penile ring by a household device plier. In case of emergency, the pliers are a useful tool for removing a strangulating penile ring

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Successful removal of strangulating metal penile ring using a dental handpiece

Cited by 4 publications

References 7 publications

Use of dental drill handpiece to remove steel nut causing penile strangulation: a case report and review of the literature

Use of dental drill handpiece to remove steel nut causing penile strangulation: a case report and review of the literature

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

Impacted Ring in the Penis: A Crisis Rescued by Plier

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