title: Penoscrotal Strangulation Caused by a Steel Ring: A Case Report.
abstract: BACKGROUND
  Strangulation of the penis and scrotum by a constricting object has been rarely reported.
  
  
  OBJECTIVE
  To describe a man with penoscrotal strangulation caused by a steel ring and its successful removal.
  
  
  METHODS
  A 28-year-old man presented to the emergency department with a 7-hour history of a steel ring lodged at the base of his penis and scrotum. Removal was accomplished with the assistance of fire brigade personnel who used their hydraulic cable cutter to shear the ring. During the removal, there were no complications.
  
  
  RESULTS
  The hydraulic cable cutter avoided thermal injury and shortened removal time compared with procedures described in the literature. The patient's recovery was uneventful, with erectile function restored after 1 week.
  
  
  CONCLUSIONS
  Genital incarceration is an urgent clinical situation requiring prompt treatment. However, suitable tools for removing the foreign object are not readily available in emergency and urology departments. Cooperation with other disciplines, even non-medical disciplines, can result in creative and timely measures for removal of the object. Zhang J, Wang X, Zhang J, et al. Penoscrotal Strangulation Caused by a Steel Ring: A Case Report. Sex Med 2017;5:e131-e133.
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. Electronic address: jqzhang@yeah.net.
authors.forename: Jiqing
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Emergency, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Xueming
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of General Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Zhulin
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Junhui
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Xiaodong
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
authors.forename: Nianzeng
authors.initials: N
authors.lastname: Xing
keywords: Hydraulic Cable Cutter; Metal Ring; Penoscrotal Strangulation; Steel Ring