Penile Strangulation by Four Stainless Steel Rings Requiring Multiple Approaches for Removal: A Case Report

IF 0.5 Q4 Medicine

IJU Case Reports Pub Date : 2026-09-26 DOI:10.1002/iju5.70265

Yoshifumi Miyauchi, Toru Sugihara, Daichi Hirata, Hiroto Kishino, Risako Watanabe, Masayuki Kurokawa, Hayato Hoshina, Eiichiro Takaoka, Satoshi Ando, Tetsuya Fujimura

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Abstract

Introduction

Penile strangulation is a rare urological emergency requiring prompt intervention. Stainless steel rings may resist conventional cutters because of their rigidity.

Case Presentation

A 62-year-old man presented with severe penile pain after applying four stainless steel rings to treat phimosis. One ring was trapped at the coronal sulcus and three at the penile base. The glans was congested with partial blistering. Initial attempts using the string method and manual ring cutters failed. Aspiration of approximately 10 mL of blood from the glans allowed removal of the distal ring. The remaining rings required general anesthesia, corporal blood aspiration, temporary penile-base compression, partial cutting of one ring, and manual decompression. All rings were removed within approximately 6 h after application. No clinical evidence of urethral injury was found, and no sensory disturbance was noted.

Conclusion

A stepwise approach may be required for penile strangulation caused by multiple stainless steel rings.

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四个不锈钢环勒死阴茎需要多种方法切除：1例报告

阴茎绞窄是一种罕见的泌尿外科急症，需要及时干预。不锈钢环可以抵抗传统刀具，因为它们的刚性。病例介绍一名62岁男性在应用四个不锈钢环治疗包茎后出现严重的阴茎疼痛。一个环被困在冠状沟，三个环被困在阴茎基部。龟头充血，局部起泡。最初尝试使用管柱法和手动环切器失败。从龟头抽吸约10ml血液，切除远端环。其余环需要全身麻醉，下体抽血，暂时压缩阴茎底部，部分切除一个环，手动减压。所有环在应用后约6小时内去除。未发现尿道损伤的临床证据，也未发现感觉障碍。结论对多根不锈钢环造成的阴茎绞勒应采取分步手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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