Strangulation of the penis with a metal ring. Clinical case

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.

A metallic ring penile foreign body causing penile strangulation: a rare case report

Strangulation of penis is a rare clinical entity, which requires urgent urological management to prevent its devastating outcomes. The treatment of penile strangulation is immediate decompression of the constricted penis to facilitate free blood flow. Many different techniques have been described in literature to remove the constricting penile foreign bodies, but there is no universally accepted technique. Each case needs individualized handling in removing the foreign body. The procedure should be done with as little discomfort to the patient as possible and under anesthesia. Here we present to you a case report on a rare case of a metallic ring penile foreign body causing penile strangulation.