Successful Removal of a 3.6-cm Long Metal Band Used as a Penile Constriction Ring

ABSTRACT Introduction Penile constriction rings are either used for autoerotic stimulus or to increase sexual performance. Potentially, they can become irremovable and cause urologic emergencies. Aim We describe the successful removal of a 3.6-cm long piece of heavy metal tubing used as a penile constriction ring. Methods An angel grinder was used to open the metal tubing on both lateral sides. During the cutting procedure, the soft tissue parts were protected by two metal spatulas. Wet towels and cool running water prevented thermal injury. Results After removal of the band, no iatrogenic injury was visible and the further recovery of the patient remained uneventful. Postoperatively, one of the surgeons suffered from conjunctivitis of the left eye possibly due to metal sparks. Conclusion Depending on the constricting object, heavy-duty technical equipment might become necessary for their removal. In such cases, special care should be taken to avoid injury to the patient and the medical crew. Horstmann M, Mattsson B, Padevit C, Gloyer M, Hotz T, and John H. Successful removal of a 3.6-cm long metal band used as a penile constriction ring.