TY  - EJOU
AU  - Handa, Nicole 
AU  - Hudnall, Matthew T. 
AU  - Amarasekera, Channa 

TI  - Penile ring strangulation injury, what to do when the bolt cutters don’t work: a case report
T2  - Canadian Journal of Urology

PY  - 
VL  - 
IS  - 
SN  - 1488-5581

AB  -  <b>Background:</b> 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. <b>Case Description:</b> 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. <b>Conclusions:</b> 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.
KW  - case report; penile constriction ring; penile strangulation; trauma; ischemia

DO  - 10.32604/cju.2025.070415