Case Report
Penile and Scrotal Strangulation due to Metal Rings: Case Reports and a Review of the Literature
Table 2
Presentation of various case reports with penile strangulation injury.
| Review of reported cases | | Time to presentation | Comorbidities | Device | Penile condition | Removal technique | Long-term sequelae |
| Chennamsetty et al. [7] | 9 days | None | 7 mm thick, alloy ring | Skin necrosis | Orthopedic pin cutter | None | Singh et al. [1] | 26 hours | None | Metallic ball bearing ring | Edema/discoloration | Needle aspiration/manual decompression | None | Talib et al. [2] | 8 hours | Erectile dysfunction | 2.5 × 1.5 cm metallic ring | Penile edema/congestion | Rotating saw | None | 6 hours | None | 1 cm thick metal ball bearing ring | Penile edema | 4 needle aspiration | None | Santucci et al. [6] | 72 hours | Schizophrenia | 10 lb barbell | Penile edema/discoloration | Air grinder saw | None | Eaton et al. [8] | 16 hours | None | 1 cm thick × 2 cm wide × 6 cm diameter ring | Penile edema/hyperemia | Gigli saw | None | Huang et al. [9] | — | Diabetes mellitus, coronary artery disease | Plastic bottle | Penile edema | Dental drill | None | Zhang et al. [12] | 2 days | None | 3 cm diameter × 2 mm thick metallic ring | Penoscrotal edema | Hydraulic cable cutter | None | Kyei et al. [10] | 12 hours | None | 2 cm wide × 0.8 cm thick metallic nut | Penile edema | Bosch electric grinder | Thermal injury—urethrocutaneous fistula and urethral stricture | Morentin et al. [11] | 2 weeks | Cerebral vascular accident, smoking, alcoholism, social behavior disorder | Plastic bottle | Necrosis/gangrene | None | Death—multiorgan failure due to sepsis |
|
|