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. 2020 Jan-Mar;12(1):15-18.
doi: 10.4103/UA.UA_16_19. Epub 2019 Nov 7.

Penile ring entrapment - A true urologic emergency: Grading, approach, and management

Omar Dawood  1 , Seena Tabibi  1 , Julia Fiuk  1 , Neil Patel  1 , Ahmed El-Zawahry  1
Affiliations

Penile ring entrapment - A true urologic emergency: Grading, approach, and management

Omar Dawood et al. Urol Ann. 2020 Jan-Mar.

Abstract

Penile rings are used to sustain erection in order to enhance sexual pleasure. They work by reducing the outflow of blood from the cavernosal tissue. However, if left for extended periods of time severe edema, urethral fistula, gangrene, and even complete loss of the distal penis can ensue, this is known as penile ring entrapment (PRE). Management poses particular challenges due to its rarity. Herein, we report our experience with three patients from our institution that presented with PRE and include a review of the approaches others have taken. We also propose a simpler and more effective grading scale to allow for easier communication between providers, as the current grading scales do not do so.

Keywords: Ischemia; penis; scrotum; trauma; urethra.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Patient 2 before treatment
Figure 2
Figure 2
Patient 2 after treatment
See this image and copyright information in PMC

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