title: [A case of strangulation of the penis with difficult release].
abstract: We report a case of penile strangulation by a metal ring. An 81-year-old man visited our hospital with a complaint of penile swelling and urinary retention caused by a ring placed around the penile root to control the patient's sexual desire; the ring had been placed some days prior to presentation. We could not release the penile strangulation by hand or with a ring cutter in the emergency room. We decided to cut the thick metal ring in the operating room under local anesthesia and sedation with a surgical tool used in the orthopedic department. It took approximately 2 hours to cut the ring. The patient had made a satisfactory recovery 7 days postoperatively, and no complications were observed during the postoperative period.
authors.affiliation: The Department of Urology, Hamamatsu Rosai Hospital.
authors.forename: Shuhei
authors.initials: S
authors.lastname: Goto
authors.affiliation: The Department of Urology, Hamamatsu Rosai Hospital.
authors.forename: Go
authors.initials: G
authors.lastname: Kobori
authors.affiliation: The Department of Urology, Hamamatsu Rosai Hospital.
authors.forename: Seiji
authors.initials: S
authors.lastname: Moroi
mesh_terms: D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000150:complications; D003251:Constriction, Pathologic / Q000601:surgery*; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000150:complications / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery; D015917:Penile Prosthesis; D012008:Recurrence