title: [Treatment of penile strangulation and sexual psychological analysis of the patients].
abstract: OBJECTIVE
  To find the best treatment of penile strangulation and to analyze the sexual psychological factors of the patients.
  
  
  METHODS
  We retrospectively analyzed the experiences in removing foreign objects around the penis in 21 patients aged 19 - 61 years with the strangulation time varying from 10 hours to 4 days. The objects were mostly made of metal or plastics.
  
  
  RESULTS
  All the objects were successfully removed, 5 of them with the help of lubricant, 4 by aspirating the corpus cavernosum, 8 by shipping with pliers, 2 with the diamond-tipped dental drill, and the other 2, which virtually defied cutting, by aspirating the corpus cavernosum following degloving surgery.
  
  
  CONCLUSIONS
  In removing foreign objects around the penis, simpler methods should be given precedence over more complex ones, and for those that virtually defy cutting, the best option is degloving surgery with particular attention to the survival of the penile skin flap.
authors: Department of Urology, Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Nanjing, Jiangsu 210008, China. gwd@nju.edu.cn
authors: Wei-Dong
authors: WD
authors: Gan
authors: Hong-Qian
authors: HQ
authors: Guo
authors: Ling-Qi
authors: LQ
authors: Zeng
authors: Hui-Bo
authors: HB
authors: Lian
authors: Lin-Fang
authors: LF
authors: Yao
authors: Feng
authors: F
authors: Qu
authors: Xiang
authors: X
authors: Yan
mesh_terms: D000328:Adult; D005547:Foreign Bodies / Q000523:psychology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult