Penile ring strangulation injury, what to do when the bolt cutters don’t work: a case report

Nicole Handa^*, Matthew T. Hudnall, Channa Amarasekera
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
* Corresponding Author: Nicole Handa. Email: email

Canadian Journal of Urology https://doi.org/10.32604/cju.2025.070415

Received 15 July 2025; Accepted 29 October 2025; Published online 28 November 2025

Abstract

Background: Penile constriction rings are most used for sexual pleasure and the management of sexual dysfunction. However, they pose a risk of injury and can be challenging to remove when strangulation occurs. Case Description: We present a case of a patient with urinary retention and a strangulation injury from a penile constriction ring present for 19 h before initial presentation. Multiple attempts to remove the penile ring were unsuccessful, and ultimately, operative management was required. Conclusions: We describe an effective technique for the removal of a stainless-steel penile constriction ring using a Stryker 505 power revision drill with a metal cutting wheel, with good functional outcomes.