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Gangrène du pénis secondaire à une strangulation par un anneau métallique

Gangrene of the penis due to strangulation by a metallic ring

Resume

La strangulation du pénis est une pathologie rare nécessitant une prise en charge en urgence. Plusieurs objets, métalliques ou non, peuvent être placés sur le pénis pour augmenter les performances sexuelles ou dans des intentions auto-érotiques.

Nous rapportons l’observation d’un patient schizophrène âgé de 44 ans qui s’est présenté au service des urgences pour une strangulation du pénis secondaire à un anneau métallique placé à la base du pénis 8 jours avant la consultation, sans trouble urinaire. Une décompression chirurgicale a été indiquée.

Une revue de la littérature nous a permis de mettre en exergue les différents tableaux cliniques de la strangulation du pénis et les méthodes thérapeutiques.

Abstract

Penile strangulation is a rare injury that requires urgent management. Various non-metallic and metallic objects are placed around the penis to increase sexual performance or for autoerotic purposes.

A 44-year-old male presented to the emergency department with penile strangulation due to metallic rings placed at the base of the penis 8 days prior to the visit. He did not present any problems of urination. The authors review the scientific literature on this unusual condition and its management.

References

  1. BERMUDEZ A.: Incarceracion del pêne por objeto metalico pesado. Arch. Esp. Ural., 1998, 51: 483–484.

    Google Scholar 

  2. BEST J.W., ANGELO J.J., MILLIGAN B.: Complete traumatic amputation of the penis. J. Urol., 1962, 87: 134–138.

    PubMed  CAS  Google Scholar 

  3. BHAT A.L., KUMAR A., MATHUR S.C. et al.: Penile strangulation. Br. J. Urol., 1991, 68: 618–621.

    Article  PubMed  CAS  Google Scholar 

  4. BROWNING W.H., REED D.C.: A method of treatment for incarceration of the penis. J. Urol., 1969, 101: 188–190.

    Google Scholar 

  5. CHAKRABARTY P.B., DAS B.K.: Strangulation of penis by metal ring. Indian Med. Assoc, 1976, 67: 256.

    CAS  Google Scholar 

  6. JOONWHA N., TAEK W.K., TAG, H. et al.: Penile strangulation treated with the modified string method. Urology, 2004, 64: 33–34.

    Google Scholar 

  7. KATO Y, KANEKO S., IGUCHI M., KURITA T.: Strangulation of the penis byaring. Hinyokika kiyo, 1987, 33: 1672–1675.

    PubMed  CAS  Google Scholar 

  8. KIMBER R.M., MELLON J.K.: The role of special cutting equipment and corporeal aspiration in the treatment of penile incarceration with a barbell retaining collar. J. Urol., 2004, 172: 975.

    Article  PubMed  CAS  Google Scholar 

  9. KLEIN F.A., SMITH V.S.: Treatment of incarceration of the penis by tempered steel bushings. J. Emerg. Med., 1987, 5: 5–8.

    Article  PubMed  CAS  Google Scholar 

  10. DETWEILER M.B., PERKINS D.: Penile incarceration: a wrapping technique. J. Emerg. Med., 2001, 20: 159–161.

    Article  PubMed  CAS  Google Scholar 

  11. DETWEILER M.B.: Penile incarceration with metal objects. A review of procedure choice based on penile trauma grade. Scand. J. Urol. Nephrol., 2001, 35: 212–217.

    Article  PubMed  CAS  Google Scholar 

  12. MOOREVILLE M., MELLER M.: Penile incarceration with barbell retaining ring. J. Urol., 2001, 166: 618.

    Article  PubMed  CAS  Google Scholar 

  13. MOUFID K., JOUAL A., DEBBAGH A. et al.: L’automutilation génitale: à propos de 3 cas. Prog. Ural., 2004, 14: 540–543.

    Google Scholar 

  14. PERABO F.G., STEINER G., ALBERS P., MULLER S.C.: Treatment of penile strangulation caused by constricting devices. Urology, 2002, 59: 137.

    Article  PubMed  Google Scholar 

  15. RANA A., SHARMA N.: Masturbation using metal washers for the treatment of impotence: painful consequences. Br. J. Urol., 1994, 73: 722.

    Article  PubMed  CAS  Google Scholar 

  16. SANTUCCI R.A., DENG D., CARNEY J.: Removal of metal penile foreign body with a widely available emergency-medical-services provided air-driven grinder. Urology, 2004, 63: 1183–1184.

    Article  PubMed  Google Scholar 

  17. SINHAB B.: Penile incarceration bya metallic object. Br. J. Surg., 1988, 75: 33.

    Article  Google Scholar 

  18. SNOY F.I., WAGNER S.A., WOODSIDE J.R. et al.: Management of penile incarceration. Urology, 1984, 24: 18–20.

    Article  PubMed  CAS  Google Scholar 

  19. VAHASARJA V.J., HELLSTROM P.A., SERLO, W. et al.: Treatment of penile incarceration by the string method: 2 case reports. J. Urol., 1993, 149: 372–373.

    PubMed  CAS  Google Scholar 

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Correspondence to Zakaria Dahami.

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Dahami, Z., Saghir, O., Elhaous, A. et al. Gangrène du pénis secondaire à une strangulation par un anneau métallique. Androl. 17, 174–178 (2007). https://doi.org/10.1007/BF03041172

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  • DOI: https://doi.org/10.1007/BF03041172

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