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Case Reports
. 2016 Oct-Dec;8(4):512-515.
doi: 10.4103/0974-7796.192101.

Penile constriction injury: An experience of four cases

Affiliations
Case Reports

Penile constriction injury: An experience of four cases

Ajit Somaji Sawant et al. Urol Ann. 2016 Oct-Dec.

Abstract

Penile injury due to constriction by a foreign object is a rare known complication, commonly seen in pediatric age group. We report four cases of penile constriction injury in adults due to various foreign objects and different indications. Between October 2014 and March 2016, four patients (mean age 42.5 years) presented with penile constriction injury with duration at presentation ranging from 18 h to 2 months. One patient had complete transection of the corpus and penile urethra. Three patients were managed successfully with daily dressings followed by split-skin grafting in one patient. One patient required delayed primary suturing after the resolution of local edema. The outcome was satisfactory in all patients with retained erectile function. Early medical attention and management is the key to success in penile constriction injury cases and to avoid complications and morbidity. Prompt removal can be challenging in cases of metal foreign bodies.

Keywords: Penile band; penile constriction; penile foreign body; rubber band.

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Figures

Figure 1
Figure 1
Complete transection of corpus and urethra in case 1
Figure 2
Figure 2
Postoperative result of case 1
Figure 3
Figure 3
Circumferential ulcer in case 2
Figure 4
Figure 4
Bottleneck encircling the mid-penile shaft in case 3
Figure 5
Figure 5
Thick metal ring at the base of penis with severe penile edema in case 4

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