Peay Jeremy, Smithson James, Nelson James, Witucki Peter
Department of Emergency Medicine, University of California, San Diego, San Diego, California, USA.
J Emerg Med. 2009 Oct;37(3):287-9. doi: 10.1016/j.jemermed.2008.06.034. Epub 2008 Dec 20.
Penile constriction devices are used for the enhancement of sexual performance. These devices have the potential to become incarcerated, leading to necrosis and amputation if not removed promptly.
This article presents a step-by-step approach for the safe removal of a hardened steel penile constriction device using somewhat unorthodox tools found in a hospital.
We present a case of an incarcerated hardened steel penile constriction ring that was not able to be removed with conventional techniques. We describe a novel technique using an electric grinder and laryngoscope blade.
The technique described in this article is a valuable and relatively safe technique for the Emergency Physician to facilitate the timely removal of a hardened steel constriction device.
