Masroor Hussain Malik, Zeinel Amir, Muhammad Ali, Ashfaq Ahmed, Muhammad Afzal Farooqi.
Penile strangulation; a study of 15 cases.
Rawal Med J Jan ;37(1):30-3.

Objectives: To report penile strangulation injuries, their management and outcome. Patients and Methods: Fifteen consecutive cases of penile strangulation admitted in our department from January 2002 to December 2009 are reviewed. All were assessed by thorough history, clinical examination and baseline investigations, when required. Management and outcome was recorded. Results: The mean age was 10.6 years (range 4-50). Eight patients had hair coil injury, two had tied the shaft of penis by thread, two by nala-entrapment, one had strangulation by stitch during circumcision, one had strangulation by wheel bearing and one due to nylon coil injury. In eight patients only skin was constricted without urethral involvement (grade 0 injury) and were managed by removal of the constricting agent. Strangulation lead to grade 1injury (urethro- cutaneous fistula) in five patients which were repaired with normal voiding. One patient developed dry gangrene of the glans resulting in almost auto amputation, so refashioning of the penile shaft with meatoplasty was performed with acceptable results. One patient who had strangulation with wheel bearing absconded from the unit before treatment. Conclusion: Penile strangulation is an uncommon injury that requires urgent management, because if unrelieved, may lead to penile engorgement, ulceration, necrosis of the spongiosum and cavernous tissue, urinary extravasation, fistula and even gangrene. (Rawal Med J 202;37:30-33).

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