Scrotum incarceration with nine galvanized iron rings: An unusual case report

Abstract In this case report we describe the case of a 36-year-old male who presented to the emergency department with a grossly swollen scrotum. Nine galvanized iron rings were placed around his scrotum for the enhancement of his sexual performance. Attempts to remove them with lubricants, ring cutters, pliers, and orthopedic bone cutters were unsuccessful. Finally, they were removed with a hydraulic bolt cutter borrowed from the fire department. Genital incarceration or strangulation represents a true urological emergency. Removal of such devices can be challenging for emergency physicians and often requires resourcefulness and a multidisciplinary approach.