title: Novel extraction technique to remove a penile constriction device.
abstract: BACKGROUND
  Penile strangulation can be a challenging clinical situation and usually requires prompt treatment. The clinician should be aware of the various techniques to remove such devices.
  
  
  OBJECTIVE
  The aim of this article was to describe a new noninvasive technique, the "pseudo-pulley" method, to remove a penile constriction device.
  
  
  METHODS
  During an episode of medication-induced hypersexuality, a 63-year-old man presented to the emergency department with a cast iron locking nut of a vehicle towbar lodged at the base of the patient's penis.
  
  
  RESULTS
  The utilization of the "pseudo-pulley" method to remove the constriction device negated the need for more invasive measures. We outline a step-by-step description on this new technique. The patient's recovery was complete and uneventful.
  
  
  CONCLUSIONS
  The current case report describes a noninvasive technique for removing a penile constriction device that does not rely on specialized equipment and industrial drills that can cause iatrogenic injury.
authors.affiliation: Department of Urology, Monash Medical Centre, Southern Health, Melbourne, Australia. drdjkatz@gmail.com
authors.forename: Darren J
authors.initials: DJ
authors.lastname: Katz
authors.forename: Warren
authors.initials: W
authors.lastname: Chin
authors.forename: Sree
authors.initials: S
authors.lastname: Appu
authors.forename: Matthew
authors.initials: M
authors.lastname: Harper
authors.forename: Filip
authors.initials: F
authors.lastname: Vukasin
authors.forename: Yeng Kwang
authors.initials: YK
authors.lastname: Tay
authors.forename: Chia
authors.initials: C
authors.lastname: Pang
authors.forename: Caroline
authors.initials: C
authors.lastname: Dowling
mesh_terms: D000978:Antiparkinson Agents / Q000009:adverse effects* / Q000627:therapeutic use; D052160:Benzothiazoles / Q000009:adverse effects* / Q000627:therapeutic use; D003250:Constriction; D004487:Edema / Q000628:therapy; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010262:Paraphilic Disorders / Q000139:chemically induced*; D010300:Parkinson Disease / Q000188:drug therapy; D010413:Penis / Q000098:blood supply / Q000293:injuries*; D000077487:Pramipexole; D014111:Tourniquets; D013521:Urologic Surgical Procedures, Male / Q000379:methods*
chemical_list: D000978:Antiparkinson Agents; D052160:Benzothiazoles; D000077487:Pramipexole