Department of Urology, The Affiliated Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, PR China.
Mol Med Rep. 2013 Jul;8(1):201-4. doi: 10.3892/mmr.2013.1456. Epub 2013 May 2.
The aim of this study was to present our experience of patients with penile strangulation. The clinical data of 6 patients (mean age, 36 years; range, 18-72 years) with penile strangulation caused by a metal hoop are provided, where the duration of strangulation was between 3 h and 1 month. Among these patients, the case of a 22-year-old patient with a steel hoop entrapment on his penis for 5 days is described; due to serious injury of the skin at the root of penis, an intermediate split‑thickness thigh skin graft was used to repair the skin loss. A review of the literature is also provided in this study, and current treatment options and outcomes are evaluated. In all the cases described, the metal hoops were successfully removed, without gangrene of the penis. These patients were discharged 2-27 days later with a satisfactory outcome. Penile strangulation is an unusual clinical condition and the consequences may be severe. The choice of method for removal depends on the type and size of metal hoop, incarceration time, trauma grade and availability of equipment. Early treatment is essential to avoid potential complications, including ischemic necrosis and autoamputation.
本研究旨在介绍阴茎绞窄患者的治疗经验。本文提供了 6 例因金属环导致阴茎绞窄的患者的临床资料（平均年龄 36 岁；范围 18-72 岁），绞窄时间为 3 小时至 1 个月。其中，描述了一名 22 岁患者的情况，其阴茎上的钢环已绞窄 5 天；由于阴茎根部皮肤严重损伤，采用中厚大腿皮片进行游离移植修复皮肤缺损。本文还对文献进行了回顾，评估了当前的治疗选择和结果。所有描述的病例中，金属环均成功取出，阴茎无坏死。这些患者在 2-27 天后出院，结果满意。阴茎绞窄是一种罕见的临床情况，后果可能很严重。去除金属环的方法选择取决于金属环的类型和大小、绞窄时间、创伤程度和设备的可用性。早期治疗至关重要，以避免潜在的并发症，包括缺血性坏死和自动截指。
