Koushik Pradhyumna, Daniel Benjith, Meyyappan Vivek, Sekar Hariharasudhan, Krishnamoorthy Sriram
Urology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus. 2024 Sep 25;16(9):e70190. doi: 10.7759/cureus.70190. eCollection 2024 Sep.
Penile injuries from self-inflicted strangulation or garroting are uncommon. Children are more likely than young adults or elderly patients to sustain such injuries. Numerous foreign things, including hair, thread, rubber bands, metallic rings, nuts, and vacuum erection devices, have been reported to be used for garroting in the literature search. Determining the precise cause of such anomalous behavior can be difficult. If there is an underlying mental disorder, the situation becomes even more complex. While such mishaps in the elderly population may be for the relief of lower urinary tract symptoms such as frequency or incontinence, in young persons, they may be for sexual stimulation and erection augmentation. These devices tightly constrict the penis root, obstructing the venous return and causing corpora congestion that leads to ischemia, gangrene, or necrosis. We describe our observations of three incidents of penile garroting and its aftereffects. Here, we also talk about the several gadgets that our patients use and the methods that we employ to remove the constriction.
因自我勒颈或绞勒导致的阴茎损伤并不常见。儿童比年轻人或老年患者更易遭受此类损伤。在文献检索中，已报道有多种异物被用于绞勒，包括头发、线、橡皮筋、金属环、螺母和真空勃起装置。确定这种异常行为的确切原因可能很困难。如果存在潜在的精神障碍，情况会变得更加复杂。虽然老年人群中的此类意外可能是为了缓解尿频或尿失禁等下尿路症状，但在年轻人中，可能是为了性刺激和增强勃起。这些装置会紧紧压迫阴茎根部，阻碍静脉回流，导致海绵体充血，进而引起缺血、坏疽或坏死。我们描述了三例阴茎绞勒事件及其后果的观察情况。在此，我们还讨论了患者使用的几种器具以及我们用于解除压迫的方法。
