Extrication of penile entrapment in a polyethylene terephthalate (PET) bottle: a technique of suture traction and Dundee and literature review.
OBJECTIVE
To describe the use of a technique of suture traction and Dundee in penile entrapment in the polyethylene terephthalate (PET) bottle case. MEASURES AND METHODS: The technique of suture traction in conjunction with Dundee was performed for the management of penile entrapment in PET bottle neck. First, the technique of Dundee (manual compression after multiple prepuce punctures) was used to alleviate and resolve the preputial edema; second, the persistent suture traction power was applied to achieve the removal with lubrication. A review of the literature is also summarized in this report. Current treatment options and outcomes are also evaluated.


RESULTS
The PET bottle neck was removed intact successfully in 50 min. Follow-up revealed he got full recovery without any complications. Literature review shows that penile incarceration in PET bottle is frequently described as an isolated case report or small series, the approach for dealing with these problems are often described using cutting instruments, the PET bottle could produce a fatal harm in extreme situation.


CONCLUSIONS
The technique combined suture traction with Dundee could be easy to perform without any special tools required in the management of penile entrapment involving PET bottles. It could be applied safely for the low-grade penile injury.
Department of Urology, Tianjin First Central Hospital of Tianjin Medical University, Tianjin, China.
Guang-Ming
GM
Liu
Guang
G
Sun
Hong-Shun
HS
Ma
D003251:Constriction, Pathologic; D003490:Cyanosis / Q000209:etiology / Q000628:therapy; D004487:Edema / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries* / Q000473:pathology; D011093:Polyethylene Terephthalates; D016728:Self-Injurious Behavior / Q000209:etiology / Q000628:therapy*; D013536:Suture Techniques; D014143:Traction
D011093:Polyethylene Terephthalates