Case Reports in Surgery / 2018 / Article / Tab 1

Case Report

Penile and Scrotal Strangulation due to Metal Rings: Case Reports and a Review of the Literature

Table 1

Penile strangulation classification system by Bhat et al.

Grade IDistal penis edema. No evidence of skin ulceration or urethral injury.
Grade IIDistal penile edema with decreased sensation. Injury to skin, constriction of corpus spongiosum. No urethral injury.
Grade IIIInjury to skin and urethra, without urethral fistula. Loss of distal penile sensation.
Grade IVComplete division of corpus spongiosum leading to urethral fistula and constriction of corpus cavernosum with loss of distal penile sensation.
Grade VGangrene, necrosis, or complete amputation of penis.

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