BACKGROUND: Penile incarceration injury patients pose a real challenge for general surgeons in emergency setup. Penile incarceration with encircling devices is an unusual condition and consequences can be severe. We are reporting a case of 50 year old male patient who presented to hospital ten days after putting a heavy metallic ring at root of penis. The placement of such rings can lead to minor to severe trauma to genital organs.
CASE SUMMARY: We are reporting a case of married elderly gentleman who himself wore a metallic ring at root of penis for sexual erotism and landed with constricting ring due to edema.
CONCLUSION: Unfamiliarity with the management of these cases put general surgeons in awkward situation as most of the times patients need non surgical treatment in his/her supervision. Timely intervention according to grade of injury can ensure promising outcome of patient. Penile strangulation should be viewed and managed as an emergency to prevent penile necrosis, urethral injury and erectile dysfunction.
Key words: Penile incarceration, metallic ring, autoerotism
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