Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY.
Department of Urology, SUNY Downstate Health Sciences University, Brooklyn, NY.
Urology. 2021 Feb;148:e15-e16. doi: 10.1016/j.urology.2020.10.042. Epub 2020 Nov 11.
Penile strangulation is an uncommon urologic emergency that requires prompt evaluation and treatment to avoid disastrous consequences. Strangulation has been reported with objects ranging from hair tourniquets, to plastic rings, to iron rings. Strangulation with these devices can result in vascular congestion of the penis, swelling and eventual gangrene of the penis distal to the constricting device. We present a case report of a 43-year-old male who had a 2-day history of penile pain and swelling secondary to a metal ring constricting the proximal phallus. Ring removal was achieved with an orthopedic bolt cutter to cut the ring in two places, using a malleable retractor to act as a "backboard" to prevent iatrogenic injury to the penis.
阴茎绞窄是一种不常见的泌尿科急症，需要及时评估和治疗，以避免灾难性后果。报道的绞窄病例涉及的物品范围很广，从发带、塑料环到铁环都有。这些器械导致阴茎血管充血、肿胀，最终在缩窄器械远端发生阴茎坏疽。我们报告了 1 例 43 岁男性病例，其阴茎疼痛和肿胀持续 2 天，原因是金属环箍在阴茎近端。使用骨科螺栓剪将环切开两处，用可塑牵开器作为“背板”以防止医源性阴茎损伤，从而实现了环的取出。
