[Penile incarceration by multiple metal rings].
OBJECTIVE
Penile incarceration is an infrequent clinical reality. Diagnosis is evident in most cases, and the challenges are to find the best way to retrieve the constrictive ring and repair the damage. Nevertheless, this event being curious has motivated us to report it.


RESULTS
We report the case of a 48 year old patient victim of a "joke" resulting in a 13 day penile incarceration produced by 7 double metallic rings, 24 mm in internal diameter and 4 mm wide, which required section and extraction of the rings as well as wide tissue debridement and posterior plastic reconstruction using partial thickness cutaneous grafts. We review diagnostic an therapeutic features from the literature.


CONCLUSIONS
Penile incarceration should be considered an emergency, so that the earlier the constrictive object is retrieved the lower the risk for complications secondary to penile devascularization, urinary retention and urethral damage. We emphasise the need to perform retrograde urethrography and suprapubic cystostomy if urethral lesion is suspected, a cutaneous vascular evaluation with doppler ultrasound or fluorescein test and the opportunity of cutaneous grafts to solve tissue lesion.
Pereira Arias
José Gregorio
JG
Servicio de Urología, Hospital de San Eloy, Barakaldo, Vizcaya, España.
Gutiérrez Díez
José María
JM
Ullate Jáime
Vicente
V
Ateca Díaz-Obregón
Ricardo
R
Berreteaga Gallastegui
José Ramón
JR
D000435:Alcoholic Intoxication / Q000150:complications; D003250:Constriction; D003251:Constriction, Pathologic / Q000209:etiology* / Q000601:surgery; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D008209:Lymphedema / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009765:Obesity / Q000150:complications; D010413:Penis / Q000098:blood supply / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D016038:Skin Transplantation; D013518:Surgery, Plastic