Citation

Pandher K, Stubbee R, Peta A, Sylora J. Urol Case Rep 2020; 33: e101372.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.eucr.2020.101372

PMID

33102071 PMCID

Abstract

Penile strangulation is an unusual urologic emergency that can be caused from both pathologic and intentional penile constriction devices (PCDs). The first case of this condition was identified in the literature in 1755, and numerous accounts of different objects used as PCDs and mechanisms of injury have been reported since.1 Penile strangulation can occur pathologically as is common in children and infants from accidental strangulation from hair. In adults, PCDs in the literature comprise numerous objects such as rings, metal tubing, ball bearings, bottles, rubber bands and more. Use of these objects has been associated with desire for erotic or sexual gratification, incomplete understanding of health conditions, and underlying psychiatric disturbances.2

In the case of prolonged penile strangulation, ischemia can lead to irreversible cell death and necrosis. Gangrenous necrosis presents as a common complication and ischemic injury can lead to permanent injury requiring significant wound debridement, skin grafting, and even penile amputation.1 Herein, we report a case of penile strangulation using rubber bands and the resulting injury and treatment complicated by DKA.

Language: en

Keywords

Classification; Grading; Hair tourniquet syndrome; Penile necrosis; Penile strangulation; Surgical debridement