Multidisciplinary emergent removal of a metal penoscrotal constriction device
Nason, G.J.; Abdelsadek, A.H.; Foran, A.T.; O'Malley, K.J.
Irish Medical Journal 110(3): 536
2017
ISSN/ISBN: 0332-3102 PMID: 28657249 Document Number: 692138
Strangulation of the genital organs is a rare presentation to the emergency department which requires urgent intervention to avoid long term complications. Penoscrotal constriction devices are either used for autoerotic stimulus or to increase sexual performance by maintaining an erection for a longer period. We report a case of a man who presented with penile strangulation following the application of a titanium penoscrotal constriction ring during sexual intercourse seven hours previously. The Fire Brigade department attended with an electric operated angle grinder to facilitate removal of the ring as standard medical equipment (orthopaedic saws, bolt and bone cutters) were insufficient. Fully functional recovery was achieved.