Non-Invasive Management of Penile Strangulation: A Novel Surgical Approach without Cutting Tools

Abstract

Penile strangulation is an unusual clinical condition that was first reported in 1755 by Gauthier. It is a type of a compartment syndrome, which requires urgent treatment to maintain vascularity of the corporal bodies. Metallic or non-metallic objects are the most common cause of penile strangulation. Penile strangulation is a rare clinical entity which may lead to serious complications if not treated promptly and judiciously. The reasons for applying foreign bodies to the external genitals are varied and depend on the patient's age group. In middle-aged and elderly men, the leading cause of application of foreign bodies is to increase sexual performance or because of autoerotic intentions, while masturbation and sexual curiosity are the leading causes in male adolescents. In infants and children, the foreign body is usually a string, thread, rubber band, or hair tied around the penis. In some patients, different concomitant psychiatric abnormalities were registered. These objects constrict the penis, obstructing blood and lymphatic flow, leading to strangulation. Early removal of the constricting object and restoration of blood supply is critical, as delays can cause irreversible damage, gangrene, sepsis, or even death. Herein, we present a rare case of penile strangulation caused by a metal pipe. The metal pipe was successfully removed with A novel surgical procedure without cutting metal pipe, allowing the patient to regain normal penile function, including erection.