摘要 Placement of constricting devices around the penis and scrotum for autoerotic purposes or increasing sexual performance represents a well-known challenge for urologists and can result in serious complications. The removal of the constricting devices can be challenging and often requires resourcefulness and multidisciplinary approach. We report one case of successful removal of a penoscrotal constricting metal ring in a 49-year-old male using a handheld orthopaedic saw under ketamine and midazolam sedation in the emergency department.
Abstract: Placement of constricting devices around the penis and scrotum for autoerotic purposes or increasing sexual performance represents a well-known challenge for urologists and can result in serious complications. The removal of the constricting devices can be challenging and often requires resourcefulness and multidisciplinary approach. We report one case of successful removal of a penoscrotal constricting metal ring in a 49-year-old male using a handheld orthopaedic saw under ketamine and midazolam sedation in the emergency department.
Yadong Lu, Teck-Wei Tan, KO Weber Lau. Successful removal of a penoscrotal constricting ring in a 49-year-old male[J]. Asian Journal of Urology, 2017, 4(4): 262-264.
Yadong Lu, Teck-Wei Tan, KO Weber Lau. Successful removal of a penoscrotal constricting ring in a 49-year-old male. Asian Journal of Urology, 2017, 4(4): 262-264.
[1] Silberstein J, Grabowski J, Lakin C, Goldstein I. Penile constriction devices:case report, review of the literature, and recommendations for extrication. J Sex Med 2008;5:1747-57. [2] Sathesh-Kumar T, Hanna-Jumma S, De Zoysa N, Saleemi A. Genitalia strangulationefireman to the rescue! Ann R Coll Surg Engl 2009;91:W15-6. [3] Brock S, Kuhn W. Removal of constricting bands using the Dremel drill. Acad Emerg Med 1999;6:1182-3. [4] Suttle TK, Palmer B, Heinlen JE, Roth CC, Reiner WG, Frimberger D. Successful removal of a penile constriction ring in a 14-year-old male. Adv Urol 2009:916507. http://dx.doi.org/10.1155/2009/916507. [5] Katz DJ, Chin W, Appu S, Harper M, Vukasin F, Tay YK, et al. Novel extraction technique to remove a penile constriction device. J Sex Med 2012;9:937-40. [6] Ivanovski O, Stankov O, Kuzmanoski M, Saidi S, Banev S, Filipovski V, et al. Penile strangulation:two case reports and review of the literature. J Sex Med 2007;4:1775-80.
Christopher Hartman, Nikhil Gupta, David Leavitt, David Hoenig, Zeph Okeke, Arthur Smith. Advances in percutaneous stone surgery[J]. Asian Journal of Urology, 2015, 2(1): 26
-32
.