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RMJ. 2012; 37(1): 30-33


Penile strangulation: A study of fifteen cases.

Masroor Hussain Malik, Zein el Amir, Muhammad Ali, Ashfaq Ahmed, Muhammad Afzal Farooqi.

Abstract
Objectives: To report penile strangulation injuries, their management and outcome of the management.
Materials and Methods: 15 consecutive cases of penile strangulation were admitted in our department through Emergency/ OPD from 01.01.2002 to 31.12. 2009. All the patients were completely assessed by taking thorough history clinical examination and baseline investigations when required. All patients were managed by individualized treatment plan and the outcome was recorded.
Results: The mean age was 10.6 yrs (range 4yrs- 50yrs). 08 patients had hair coil injury, 02 cases had tied the shaft of penis by thread, 02 cases by nala- entrapment, 01 patient had strangulation by stitch during circumcision, in 01 case strangulation by wheel bearing and 01 case due to nylon coil injury. In 08 patients only skin was constricted without urethral involvement (grade 0 injury) & managed by removal of the constricting agent. Strangulation lead to grade 1injury (urethro- cutaneous fistula) in 05 patients which were repaired with normal voiding. One patient developed dry gangrene of the glans resulting in almost auto amputation, so refashioning of the penile shaft with meatoplasty was performed having acceptable results. One patient who had strangulation with wheel bearing was absconded from the unit before treatment.
Conclusion: Penile strangulation is an uncommon injury that requires urgent management, because if unrelieved, may lead to penile engorgement, ulceration, necrosis of the spongiosum and cavernous tissue, urinary extravasation, fistula and even gangrene.

Key words: Penis, strangulation, penile constriction, penile edema.


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