Post coital penile ring entrapment: A report of a non-surgical extrication method

Neglected finger ring entrapment: a case series illustrating lessons for clinical practice

Finger ring entrapment could compromise the neurovascular status of the finger if not treated promptly. We aimed to report two cases of neglected finger ring entrapment following minor blunt trauma to the hand and illustrate some lessons for clinical practice. Both patients were right-hand dominant, presented 3-4 weeks after the onset of symptoms, and had circumferential ulceration of the affected fingers. The removal of both rings was performed using a wire cutter and bender. Neglected finger ring entrapment could result in multiple sequelae of the affected finger. Timely invention in finger ring entrapment is crucial to forestall neurovascular sequelae. We recommend immediate removal of all jewellery on fingers following any form of hand trauma as a primary preventive measure. We also recommend that clinicians who intend to use a ring-cutting method assess the material used to forge the ring to aid proper selection of a cutting device.

Penis Ring Injuries Treated at Emergency Departments

The purpose of this study was to determine the pattern of penis ring-related injuries in the US. During 2000-2019, 162 penis ring-related injuries (for a national estimate of 6,344 such injuries) were treated at US emergency departments (EDs). Of the estimated injuries, 32.3% occurred during 2000-2011 and 67.7% during 2012-2015. The patients were 49.8% age 30-49 years. The most common types of injuries were ring stuck on the penis or scrotum (75.3%), edema (29.9%), pain (18.7%), and contusion or abrasion (7.6%). In 81.9% of the estimated injuries, the patient was treated or examined at the ED and then released.

Penile strangulation injury by metallic ring: A study of 4 cases

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Penila strangulation required emergency management to preserve the organ function.

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Each case managed individually according to its clinical finding and operative settings.

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Management depends on the type and size of constricting object, time after incarceration, degree of injury, available instrument, and experience of the physicians.

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Different methods and tools may arise due to circumstance and individual cases differences.

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Surprisingly, there is no erection problem after removing the strangulation.

Penile strangulation by metallic ring is an emergency situation which requires urgent management. Strangulation of the penis usually performed in order to increase sexual performance or because underlying mental disorder or paraphilia. It is an uncommon urological emergency, if not treated as soon as possible it can lead to complications such as gangrene and amputation of the penis. There is no standard of care that has been found to be superior, with each case managed individually according to its clinical findings and operative settings. In this study, we present four cases of penile strangulation in last two years in a tertiary care hospital.

Penile ring entrapment - A true urologic emergency: Grading, approach, and management

Penile rings are used to sustain erection in order to enhance sexual pleasure. They work by reducing the outflow of blood from the cavernosal tissue. However, if left for extended periods of time severe edema, urethral fistula, gangrene, and even complete loss of the distal penis can ensue, this is known as penile ring entrapment (PRE). Management poses particular challenges due to its rarity. Herein, we report our experience with three patients from our institution that presented with PRE and include a review of the approaches others have taken. We also propose a simpler and more effective grading scale to allow for easier communication between providers, as the current grading scales do not do so.

The Fire Service for the Removal of a Metallic Penile Constricting Device: A Ready Help When All Else Fail

The placement of a constricting device around the penis is a urologic emergency. Though injuries from constricting penile devices are generally rare, they may be associated with serious complications. There is no standard modality for the removal of penile constricting devices and the management of the patient can therefore prove to be a formidable challenge to the urologist. Timely intervention is always important in preventing complications especially penile gangrene. Depending on the type of device used along with the duration and severity of penile constriction caused, significant resourcefulness may be required in the treatment of the patient. Achieving a timely and successful outcome may require a multidisciplinary approach involving equipment only available with the fire service or other agencies. We report the case of a 30-year-old man with a background psychiatric illness who had his penile constricting device removed under conscious sedation in the emergency room with the aid of a power driven arc saw from the fire service with a successful outcome.