Nicole Handa, Matthew T Hudnall, Channa Amarasekera
{"title":"Penile ring strangulation injury, what to do when the bolt cutters don't work: a case report.","authors":"Nicole Handa, Matthew T Hudnall, Channa Amarasekera","doi":"10.32604/cju.2025.070415","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Penile constriction rings are most used for sexual pleasure and the management of sexual dysfunction. However, they pose a risk of injury and can be challenging to remove when strangulation occurs.</p><p><strong>Case description: </strong>We present a case of a patient with urinary retention and a strangulation injury from a penile constriction ring present for 19 h before initial presentation. Multiple attempts to remove the penile ring were unsuccessful, and ultimately, operative management was required.</p><p><strong>Conclusions: </strong>We describe an effective technique for the removal of a stainless-steel penile constriction ring using a Stryker 505 power revision drill with a metal cutting wheel, with good functional outcomes.</p>","PeriodicalId":520500,"journal":{"name":"The Canadian journal of urology","volume":"33 3","pages":"719-722"},"PeriodicalIF":0.0000,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Canadian journal of urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.32604/cju.2025.070415","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Penile constriction rings are most used for sexual pleasure and the management of sexual dysfunction. However, they pose a risk of injury and can be challenging to remove when strangulation occurs.
Case description: We present a case of a patient with urinary retention and a strangulation injury from a penile constriction ring present for 19 h before initial presentation. Multiple attempts to remove the penile ring were unsuccessful, and ultimately, operative management was required.
Conclusions: We describe an effective technique for the removal of a stainless-steel penile constriction ring using a Stryker 505 power revision drill with a metal cutting wheel, with good functional outcomes.