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Case Reports in Urology
Volume 2018, Article ID 1725752, 4 pages
Case Report

Strangulation of the Penis by a Metallic Ring: Prevention Is Better Than Cure

Department of Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia

Correspondence should be addressed to Hamza Ichaoui; moc.liamg@063iuoahciazmah

Received 24 September 2017; Revised 21 January 2018; Accepted 12 February 2018; Published 13 March 2018

Academic Editor: Fumitaka Koga

Copyright © 2018 Hamza Ichaoui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Strangulation of the penis is a rare condition that requires emergency management. Several objects, metallic or not, can be placed on the penis to increase sexual performance or for self-erotic intentions especially in psychotic patients with unusual sexual impulses. The problem of removing the foreign body and repairing the damage is a real challenge for the practitioner and a great stress for the patient. We report a case of a 42-year-old schizophrenic patient who presented to the emergency department for a strangulation of the penis secondary to a metal ring placed at the base of the penis 10 days before the consultation without urinary disorder. A review of the literature allowed us to highlight the different clinical pictures of penis strangulation and the therapeutic methods and to highlight the importance of psychiatric care of sexual behaviour in chronic psychotics.