Uthman Abdulla, Al-Mashhadani Shahad, Blower Naomi, Iqbal Muhammed
Cwm Taf Morgannwg University Health Board Pontylun UK.
Baghdad Teaching Hospital Baghdad Iraq.
IJU Case Rep. 2023 Nov 1;7(1):38-41. doi: 10.1002/iju5.12663. eCollection 2024 Jan.
Penile strangulation is a rare urological emergency that necessitates urgent management. The reasoning behind it may include sexual pleasure, erection reinforcement, or a psychiatric disorder.
Despite being an uncommon complication of penile strangulation, we report a 45-year-old prison inmate who presented with penile shaft necrosis secondary to using a non-metallic constriction object. The patient reported a 5-day history of progressive penile pain, edema, and skin injury but no urinary symptoms. The patient underwent complete penile skin degloving, circumcision, and insertion of a suprapubic catheter. Postoperatively, the penile tissue appeared healthy, and the wound was granulating. On the eleventh day following degloving, a full-thickness skin graft was taken from the groin area. The patient remained in the hospital for 20 days, during which he was clinically stable with clean, healing wounds.
Early management of penile strangulation is vital in order to prevent vascular and mechanical complications.
阴茎绞窄是一种罕见的泌尿外科急症，需要紧急处理。其背后的原因可能包括性快感、增强勃起或精神障碍。
尽管阴茎绞窄是一种罕见的并发症，但我们报告了一名45岁的监狱囚犯，他因使用非金属紧缩物品导致阴茎干坏死。患者自述阴茎渐进性疼痛、水肿和皮肤损伤5天，但无泌尿系统症状。患者接受了阴茎皮肤完全脱套、包皮环切术及耻骨上导管置入术。术后，阴茎组织看起来健康，伤口正在肉芽形成。脱套术后第11天，从腹股沟区取了一块全厚皮片。患者住院20天，在此期间临床稳定，伤口清洁且正在愈合。
阴茎绞窄的早期处理对于预防血管和机械性并发症至关重要。
