title: Removal of metal penile foreign body with a widely available emergency-medical-services-provided air-driven grinder.
abstract: Penile incarceration with heavy metal objects can be a difficult problem, especially if the object cannot be removed by the standard equipment available in the hospital (eg, ring cutters, bolt cutters, motorized rotary tool). We report removal of heavy iron (barbell) and steel (sledgehammer head) items incarcerating the penis with a heavy-duty air grinder provided by the fire department. This is the first such report of which we are aware. Features of safe removal of these items are reviewed, including cooling the metal item with ice to prevent tissue heating, protecting the patient from sparks, and protecting the penis from the cutting blade.
authors.affiliation: Department of Urology, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Santucci
authors.forename: Donna
authors.initials: D
authors.lastname: Deng
authors.forename: Jeff
authors.initials: J
authors.lastname: Carney
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D004389:Durable Medical Equipment; D004487:Edema / Q000209:etiology / Q000517:prevention & control; D004632:Emergency Medical Services / Q000379:methods*; D004867:Equipment Design; D005547:Foreign Bodies / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D010413:Penis; D012559:Schizophrenia / Q000150:complications; D016896:Treatment Outcome
chemical_list: D008670:Metals