Kawata Kei, Takahashi Yoshito, Hishida Seiji, Takeuchi Shinichi, Ishida Kenichiro, Nakano Masahiro, Taniguchi Mitsuhiro
The Department of Urology, Gifu Prefectural General Medical Center.
Hinyokika Kiyo. 2022 Nov;68(11):359-363. doi: 10.14989/ActaUrolJap_68_11_359.
In this report, we describe a case of penile strangulation via metal rings. A 65-year-old Japanese man was transferred to the emergency room of our hospital for, dysuria and penile pain following penile incarceration with metal rings. Five metal rings approximately 30 mm in diameter were incarcerated to the penile root. Physical examination, revealed marked penile swelling distal to the rings. Various methods including the use of a ring cutter, were attempted to relieve the penial strangulation. However, these techniques failed, prompting referral to a rescue team. We started cutting the rings with an air cutter. After, 90 minutes, the rings were successfully removed. This study highlights the benefit of early cooperation with the rescue team in managing patients with mechanical penile strangulation.
在本报告中，我们描述了一例因金属环导致阴茎绞窄的病例。一名65岁的日本男性因阴茎被金属环嵌顿后出现排尿困难和阴茎疼痛，被转送至我院急诊室。五个直径约30毫米的金属环嵌顿在阴茎根部。体格检查发现环远端阴茎明显肿胀。尝试了包括使用环切器在内的各种方法来缓解阴茎绞窄。然而，这些技术均告失败，于是转诊至救援团队。我们开始用气切刀切割金属环。90分钟后，金属环被成功移除。本研究强调了在处理机械性阴茎绞窄患者时尽早与救援团队合作的益处。
