Citation

Gan WD, Guo HQ, Zeng LQ, Lian HB, Yao LF, Qu F, Yan X. Zhonghua Nan Ke Xue 2011; 17(6): 535-537.

Affiliation

Department of Urology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China. gwd@nju.edu.cn

Copyright

(Copyright © 2011, Zhonghua nan ke xue za zhi bian ji bu)

DOI

unavailable

PMID

21735654

Abstract

OBJECTIVE: To find the best treatment of penile strangulation and to analyze the sexual psychological factors of the patients. METHODS: We retrospectively analyzed the experiences in removing foreign objects around the penis in 21 patients aged 19 - 61 years with the strangulation time varying from 10 hours to 4 days. The objects were mostly made of metal or plastics. RESULTS: All the objects were successfully removed, 5 of them with the help of lubricant, 4 by aspirating the corpus cavernosum, 8 by snipping with pliers, 2 with the diamond-tipped dental drill, and the other 2, which virtually defied cutting, by aspirating the corpus cavernosum following degloving surgery. CONCLUSION: In removing foreign objects around the penis, simpler methods should be given precedence over more complex ones, and for those that virtually defy cutting, the best option is degloving surgery with particular attention to the survival of the penile skin flap.

Language: zh