Penile Strangulation by a Metallic Ring: Clinical Case and Literature Review

Abstract

The use of metallic and non-metallic objects on the penis for erotic pleasure is not rare. Sometimes penile strangulation can occur, but prompt attention and careful management can lead to full recovery. Penile strangulation, if unrelieved, may lead to penile engorgement, ulceration, necrosis of the spongiosum and cavernous tissue, urinary extravation and even gangrene. We report on a case of a young man who presented with a metal ring jammed around the penis. Metallic objects cause less severe injuries than non-metallic ones, but they are difficult to remove. In these cases a metal cutter, saw, heavy drill hammer and chisel can be used. It is easier to remove non-metallic objects but injuries are severe. The choice of method for removing an object depends upon its type, size, how long it has been in place and availability of equipment.