title: Treatment of penile strangulation by the rotating saw and 4-needle aspiration method: two case reports.
abstract: BACKGROUND
  The aim of this article was to describe our experience in using rotating saw and also combination of the instrument with 4-needle aspiration.
  
  
  METHODS
  A comprehensive review of the literature was performed using PubMed. "Penile strangulation, -constriction, -incarceration, -entrapment" were used as search terms, and a manual bibliographic review of cross referenced items was performed.
  
  
  RESULTS
  Search results yielded nearly 70 cases of penile strangulation caused by a variety of objects. Various instruments have been described in the literature for their safe removal, each with its own pros and cons.
  
  
  CONCLUSIONS
  Penile strangulation should be accepted as a self-induced priapism and managed as an emergency in order to preserve erectile function and to prevent penile necrosis. Surgical creativity and patience are necessary in order to have a successful outcome.
authors.affiliation: Hamad General Hospital, Urology Department, Doha. ocanguven@yahoo.com.
authors.forename: Raidh A
authors.initials: RA
authors.lastname: Talib
authors.forename: Onder
authors.initials: O
authors.lastname: Canguven
authors.forename: Abdulla
authors.initials: A
authors.lastname: Al Ansari
authors.forename: Ahmad
authors.initials: A
authors.lastname: Shamsodini
mesh_terms: D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D004638:Emergency Treatment; D005547:Foreign Bodies / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles; D010413:Penis / Q000293:injuries*; D013396:Suction / Q000295:instrumentation; D055815:Young Adult