Abstract

Penile entrapment is a rare but serious urological emergency, as it can lead to strangulation and infarction. We report a case of penile entrapment in a polyethylene terephthalate (PET) bottle. CASE REPORT A 44-year-old male presented with the penis entrapped in a 1.5 l PET soft drink bottle. He and his sex partner had placed the bottle on the penis for erotic purposes. Increasing rigidity prevented removal of the penis. At the time of presentation the glans penis was engorged and cyanotic. The edematous penis was firmly stuck in the bottle neck and could not be removed. Attempts to cut the bottle with a scalpel and a glass saw were unsuccessful. Finally, the bottle neck was cut circumferentially and longitudinally with an oscillating saw usually used to cut plaster casts. A metal tongue blade protected the penile skin. After removal of the bottle the penis was intact, and swelling gradually subsided. DISCUSSION Penile incarceration is a rare but serious problem. 1 Rapid treatment is necessary to prevent penile infarction. Glass

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