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      Angle grinder as surgical tool for incarcerated penoscrotal steel ring

      case-report

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Penile strangulation with concomitant scrotal entrapment by a steel ring is an extremely rare urological emergency that requires immediate intervention. Any delay may lead to irreversible complications. Metal rings increase penile engorgement and are usually associated with an attempt to improve sexual pleasure or to maintain a prolonged erection. The removal of steel rings can be challenging and may require a multidisciplinary approach. We present a unique case report of an 18-year-old male with a penoscrotal steel ring retained for 24 hours that was safely removed using an angle grinder as a surgical tool.

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          Penile strangulation by iron metal ring: A novel and effective method of management

          Somorendro S. Paonam, Nillachandra Kshetrimayum, Indrajit Rana (2017)
          Penile strangulation by metal ring is a rare urological emergency situation which requires urgent decompression of the penis to avoid adverse effect. It is usually associated with an attempt to improve sexual act and/or to prolong erection. But sometimes, cutting of the ring to decompress the penis safely is a very difficult task particularly when the strangulating object is a hard metal object as in our case. Here, we present a case which was managed by cutting in a novel way with the help of dental micromotor with wheel shape bur.
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            Penile strangulation.

            K Gangwal, Anant Kumar, Imtiyaz Bhat … (1991)
            Penile strangulation is a rare injury that requires urgent management. Non-metallic, thin objects are easy to remove but can cause severe injury. Metallic objects are difficult to remove but the injuries are usually less severe. Penile ulceration and oedema in children may well indicate the presence of a strangulation object. We describe a new hammer and chisel method for removing such objects.
            Article 0 comments Cited 8 times – based on 0 reviews     Review now
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              Penile Incarceration with Metallic Foreign Bodies: Management and Review of Literature

              Sameer Trivedi, Amit Attam, Arun Kerketa … (2013)
              Introduction Penile strangulation from constricting metallic objects disorders is an uncommon urological emergency which requires prompt intervention to prevent complications. The treatment modalities are diverse and characterized by lack of consensus. Material and Methods Three cases with penile incarceration due to constricting metallic objects who presented to our department were included in this study. All 3 patients required different management options highlighting the diversity of clinical presentation and need for customization of treatment as per the clinical scenario. Results The 3 patients required different approach for treatment. First patient could be managed by degloving of penile skin while second patient required mechanical removal of the foreign body and debridement of local necrotic tissues. The third patient had to undergo excision of gangrenous penile skin and skin grafting. Conclusion The study emphasizes the diversity of clinical presentations and the need for employing different surgical techniques to achieve the desired results.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pan Afr Med J
                Journal ID (iso-abbrev): Pan Afr Med J
                Journal ID (publisher-id): PAMJ
                Title: The Pan African Medical Journal
                Publisher: The African Field Epidemiology Network
                ISSN (Electronic): 1937-8688
                Publication date (Electronic): 25 September 2020
                Publication date Collection: 2020
                Volume: 37
                Electronic Location Identifier: 91
                Affiliations
                [1 ]Department of Transplantation, Clinical Institute of Urology and Renal Transplantation, Cluj-Napoca, Romania,
                [2 ]Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
                Author notes
                Corresponding author: Bogdan Ioan Stanciu, Department of Transplantation, Clinical Institute of Urology and Renal Transplantation, Cluj-Napoca, Romania. stanciu.bogdanioan96@ 123456gmail.com
                Article
                Publisher ID: PAMJ-37-91
                DOI: 10.11604/pamj.2020.37.91.20784
                PMC ID: 7757205
                PubMed ID: 33425124
                SO-VID: a8145858-33a5-4fd0-8cc0-f92f7642c06c
                Copyright © Copyright: Dan Alin Pop et al.
                License:

                The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 25 October 2019
                Date accepted : 17 September 2020
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: steel ring,penile strangulation,scrotal entrapment,angle grinder
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: steel ring, penile strangulation, scrotal entrapment, angle grinder

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