An effective treatment for penile strangulation

Abstract

The aim of this study was to present our experience of patients with penile strangulation. The clinical data of 6patients (mean age, 36years; range, 18-72years) with penile strangulation caused by a metal hoop are provided, where the duration of strangulation was between 3h and 1month. Among these patients, the case of a 22-year-old patient with a steel hoop entrapment on his penis for 5days is described; due to serious injury of the skin at the root of penis, an intermediate split‑thickness thigh skin graft was used to repair the skin loss. A review of the literature is also provided in this study, and current treatment options and outcomes are evaluated. In all the cases described, the metal hoops were successfully removed, without gangrene of the penis. These patients were discharged 2-27days later with a satisfactory outcome. Penile strangulation is an unusual clinical condition and the consequences may be severe. The choice of method for removal depends on the type and size of metal hoop, incarceration time, trauma grade and availability of equipment. Early treatment is essential to avoid potential complications, including ischemic necrosis and autoamputation.