Omisanjo Olufunmilade A, Ojewuyi Olufemi, Abolarinwa Abimbola, Akinola Oluwaseun, Omorinde Mofeyisayo, Oshodi Olabode, Ikuerowo Stephen, Adedokun Ayoade, Oke David
Department of Surgery, Lagos State University College of Medicine and Teaching Hospital (LASUCOM/LASUTH), Ikeja, Lagos, Nigeria.
Department of Surgery, Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria.
Case Rep Urol. 2018 Sep 25;2018:7543451. doi: 10.1155/2018/7543451. eCollection 2018.
The placement of a constricting device around the penis is a urologic emergency. Though injuries from constricting penile devices are generally rare, they may be associated with serious complications. There is no standard modality for the removal of penile constricting devices and the management of the patient can therefore prove to be a formidable challenge to the urologist. Timely intervention is always important in preventing complications especially penile gangrene. Depending on the type of device used along with the duration and severity of penile constriction caused, significant resourcefulness may be required in the treatment of the patient. Achieving a timely and successful outcome may require a multidisciplinary approach involving equipment only available with the fire service or other agencies. We report the case of a 30-year-old man with a background psychiatric illness who had his penile constricting device removed under conscious sedation in the emergency room with the aid of a power driven arc saw from the fire service with a successful outcome.
在阴茎周围放置紧缩装置是一种泌尿外科急症。虽然因阴茎紧缩装置导致的损伤通常很少见，但可能会伴有严重并发症。目前尚无去除阴茎紧缩装置的标准方法，因此对患者的处理可能对泌尿外科医生构成巨大挑战。及时干预对于预防并发症尤其是阴茎坏疽始终很重要。根据所使用装置的类型以及阴茎紧缩的持续时间和严重程度，在治疗患者时可能需要极大的应变能力。要实现及时且成功的治疗结果，可能需要采用多学科方法，这涉及消防部门或其他机构才有的设备。我们报告一例30岁男性病例，该患者有精神疾病史，在急诊室清醒镇静状态下，借助消防部门的电动锯成功移除了阴茎紧缩装置。
