NYMC Faculty Publications
DOI
10.1155/2018/5216826
Journal Title
Case Reports in Surgery
First Page
Art. ID.: 5216826
Document Type
Case Report
Publication Date
3-1-2018
Department
Urology
Abstract
Penile and scrotal entrapment from a metal ring placed at the base of the penis is a rare, but important clinical dilemma encountered in urology. Emergent presentation to the urologist, after ring placement far longer than safely practiced, risks ischemic and permanent injury to penile, scrotal, and intrascrotal structures. Treating urologists should be aware of the prevalence of metal ring use, their potential complications, and the surgical approach to their safe removal. We present two patients who were identified at our institution with strangulating injuries of retained penile rings. The first patient was a healthy, 43-year-old male with a metal ring retained for 24 hours that was safely removed with industrial bolt cutters. The second patient, a 74-year-old male, died as a result of sepsis from injuries secondary to penoscrotal ischemia after >48 hour ring retention despite prompt removal at emergent presentation. Although rare, sexual practices may include the use of penoscrotal rings. When retained, ischemic injury and edema may lead to strangulation. Emergent removal may require industrial equipment that is not within the confines of normal operating room tools. Tissue injury may be severe and sepsis life-threatening, even after ring removal.
Recommended Citation
Patel, N., Bloom, J., Uppaluri, N., Iorga, M., Parikh, S., Phillips, J., & Choudhury, M. (2018). Penile and Scrotal Strangulation due to Metal Rings: Case Reports and a Review of the Literature. Case Reports in Surgery, 2018, Art. ID.: 5216826. https://doi.org/10.1155/2018/5216826
Publisher's Statement
Originally published in Case Reports in Surgery, 2018 [Article 5216826]. The original material can be found here.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
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