Trivedi Sameer, Attam Amit, Kerketa Arun, Daruka Navin, Behre Bharat, Agrawal Abhinav, Rathi Sudhir, Dwivedi U S
Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Curr Urol. 2013 Aug;7(1):45-50. doi: 10.1159/000343554. Epub 2013 Jul 28.
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.
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.
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.
The study emphasizes the diversity of clinical presentations and the need for employing different surgical techniques to achieve the desired results.
因金属物体束缚导致的阴茎绞窄是一种罕见的泌尿外科急症，需要及时干预以预防并发症。治疗方式多种多样，且缺乏共识。
本研究纳入了3例因金属物体束缚导致阴茎嵌顿并前来我院就诊的患者。所有3例患者都需要不同的处理方式，这突出了临床表现的多样性以及根据临床情况定制治疗方案的必要性。
这3例患者需要不同的治疗方法。首例患者可通过阴茎皮肤脱套处理，而第二例患者需要机械取出异物并对局部坏死组织进行清创。第三例患者不得不接受阴茎坏疽皮肤切除及植皮手术。
该研究强调了临床表现的多样性以及采用不同手术技术以达到预期效果的必要性。
