Ichaoui Hamza, Sallami Sataa, Samet Ahmed, Bokal Zied, Touinsi Hassan
Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Case Rep Urol. 2018 Mar 13;2018:1725752. doi: 10.1155/2018/1725752. eCollection 2018.
Strangulation of the penis is a rare condition that requires emergency management. Several objects, metallic or not, can be placed on the penis to increase sexual performance or for self-erotic intentions especially in psychotic patients with unusual sexual impulses. The problem of removing the foreign body and repairing the damage is a real challenge for the practitioner and a great stress for the patient. We report a case of a 42-year-old schizophrenic patient who presented to the emergency department for a strangulation of the penis secondary to a metal ring placed at the base of the penis 10 days before the consultation without urinary disorder. A review of the literature allowed us to highlight the different clinical pictures of penis strangulation and the therapeutic methods and to highlight the importance of psychiatric care of sexual behaviour in chronic psychotics.
阴茎绞窄是一种罕见的情况，需要紧急处理。几种物品，无论是否为金属材质，都可能被放置在阴茎上以提高性能力或出于自我性冲动意图，特别是在有异常性冲动的精神病患者中。取出异物并修复损伤的问题对从业者来说是一项真正的挑战，对患者来说也是巨大的压力。我们报告一例42岁的精神分裂症患者，他因阴茎绞窄而到急诊科就诊，该绞窄是由在就诊前10天放置在阴茎根部的金属环所致，且无泌尿系统疾病。文献回顾使我们能够突出阴茎绞窄的不同临床表现、治疗方法，并强调对慢性精神病患者性行为进行精神科护理的重要性。
