Safe emergency department removal of a hardened steel penile constriction ring.
BACKGROUND
Penile constriction devices are used for the enhancement of sexual performance. These devices have the potential to become incarcerated, leading to necrosis and amputation if not removed promptly.


OBJECTIVE
This article presents a step-by-step approach for the safe removal of a hardened steel penile constriction device using somewhat unorthodox tools found in a hospital.


METHODS
We present a case of an incarcerated hardened steel penile constriction ring that was not able to be removed with conventional techniques. We describe a novel technique using an electric grinder and laryngoscope blade.


CONCLUSIONS
The technique described in this article is a valuable and relatively safe technique for the Emergency Physician to facilitate the timely removal of a hardened steel constriction device.
Peay
Jeremy
J
Department of Emergency Medicine, University of California, San Diego, San Diego, California, USA.
Smithson
James
J
Nelson
James
J
Witucki
Peter
P
D000328:Adult; D003250:Constriction; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries*; D012725:Sexual Behavior; D013232:Steel
D013232:Steel