title: Partial penile amputation due to penile tourniquet syndrome in a child troubled with primary nocturnal enuresis--a rare emergency.
abstract: Penile tourniquet syndrome (PTS) or acquired constriction ring syndrome (ACRS) is a rare emergency that can lead to a wide range of vascular and soft tissue injuries in the penis. We are presenting a case of penile tourniquet syndrome in an 8-year-old child who had tied a thread around his penis due to primary nocturnal enuresis. On exploration, a constricting thread ring was noticed that was causing partial circumferential distal penile amputation. The thread ring was cut and debridement with primary repair of the wound was done in layers. Prevention of complications needs early diagnosis, timely intervention, and removal of the constriction.
authors.affiliation: Department of Surgery, K.G.'s Medical University, Lucknow, Uttar Pradesh, India. pahwakgmu@yahoo.co.in
authors.forename: Harvinder Singh
authors.initials: HS
authors.lastname: Pahwa
authors.forename: Awanish
authors.initials: A
authors.lastname: Kumar
authors.forename: Rohit
authors.initials: R
authors.lastname: Srivastava
authors.forename: Suresh
authors.initials: S
authors.lastname: Kumar
authors.forename: Apul
authors.initials: A
authors.lastname: Goel
authors.forename: Arshad
authors.initials: A
authors.lastname: Ahmad
mesh_terms: D000673:Amputation, Traumatic / Q000209:etiology*; D002648:Child; D006801:Humans; D008297:Male; D053206:Nocturnal Enuresis; D010413:Penis / Q000293:injuries*; D013577:Syndrome; D014111:Tourniquets / Q000009:adverse effects