Penile strangulation by metallic ring: A case report

Penile strangulation is an urological emergency. It occurs whenever any constricting object is placed for erotic or auto-erotic purposes or to intensify sexual performance. Any delay in management might lead to reduced blood flow leading to edema and irreversible ischaemia of the penile tissue and sometimes,gangrene. Here, we report a case who presented to emergency with acute urinary retention and penile swelling secondary to metallic ring strangulation of penis. Patient was taken to operation room to release the ring. But safe decompression of the penis can be very challenging as in our case where the strangulating object is a hard metal ring. Early release of the strangulation helps to preserve the urethral and erectile function.