Abnormal Behaviour of Introducing Ring in Penis and its Fatal Consequences: A Case Series

Abstract

This case series is about four incidences where the patients had introduced rings around the penis. The duration of the presentation ranged from eight to ninety-six hours. All patients had different degrees of injury and clinical presentation and were managed accordingly. Help of one metallic electrical cutter and two non hospital staff were required while removing those rings and same method was used in all cases. At the time of discharge, one patient was found to have degloved penile skin, others showed sloughed-out skin at the base of the penis. Late presenters had lower Erection Hard Score (EHS) but all had normal voiding of urine at the time of discharge. One patient was known to have schizophrenia. Other patients had no history of mental disorders and psychiatric evaluation was also done during hospital stay. Penile strangulation needs urgent medical attention and the removal of the rings as early as possible. Duration of strangulation and type of object plays a vital role in determining the grade of injury and complications.