title: Successful removal of a penile constriction wedding ring in a rural area.
abstract: BACKGROUND
  Penile strangulation is a rarely described medical emergency. Removal of the strangulating object is challenging, with a lack of proper guidelines.
  
  
  OBJECTIVE
  To describe the challenges faced during an attempt to urgently remove a metal object (wedding ring) constricting an erect penis.
  
  
  METHODS
  We report a case of penile strangulation with a wedding ring in an adult man who presented at Van Velden Hospital casualty department, Limpopo, South Africa, and review the related literature.
  
  
  RESULTS
  The ring was successfully removed using an aspiration technique (via a pink needle).
  
  
  CONCLUSIONS
  No proper guidelines exist for the treatment of this condition, so the 'best method' is the one with a successful outcome.
authors.affiliation: Casualty Department, Van Velden Hospital, Tzaneen, Limpopo, South Africa. dr_adnene@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Fhima
authors.forename: N
authors.initials: N
authors.lastname: Lahouel