Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony

Obiatuegwu Kenenna; Fidelis Lovely; Anyabolu Michael; Otabor Christopher

doi:doi:10.11648/j.wjmcr.20250602.12

Case Report |

| Peer-Reviewed

Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony

Obiatuegwu Kenenna^*

, Fidelis Lovely

, Anyabolu Michael

, Otabor Christopher

Published in World Journal of Medical Case Reports (Volume 6, Issue 2)

Received: 9 April 2025 Accepted: 18 April 2025 Published: 26 May 2025

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to psychiatric disturbances or depression. Mental health evaluation remains vital to forestall future reoccurrence of such bizarre tendency. Urgent retrieval of the offending device is vital to preserve sexual function. We report our experience with a 28 year old male patient who had penile ring entrapment and acute urinary retention requiring anesthesia to ease manipulation with advanced orthopedic device (wire cutter). Due to consequent acute urinary retention, we immediately inserted a size 16 french two way catheter for drainage of the urine and forestall progressive retention of urine. We drained 700 ml while on table which further confirms acute urinary retention which probably must have added to the excruciating pain. Subsequent interaction with the patient was uneventful and he was counseled to avoid such self-sexual practice in future. Mental health evaluation by the mental health physicians was also uneventful.

Published in	World Journal of Medical Case Reports (Volume 6, Issue 2)
DOI	10.11648/j.wjmcr.20250602.12
Page(s)	15-19
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Penile Strangulation, Penile Ring Entrapment, Metallic Ring, Wire Cutter

References

[1]	Casteleijn NF, Visser FW, Drenth JP, Gevers TJ, Groen GJ, Hogan MC, Gansevoort RT; DIPAK Consortium. A stepwise approach for effective management of chronic pain in autosomal-dominant polycystic kidney disease. Nephrol Dial Transplant. 2014 Sep; 29 Suppl 4(Suppl 4): iv142-53. https://doi.org/10.1093/ndt/gfu073
[2]	Kyomukama LA, Ssebuufu R, Wani SA, Waziri MA, Lule H, Penile Ring Entrapment and Strangulation: A Case Report at Kampala International University Teaching Hospital in Western Uganda, International Journal of Surgery Case Reports (2020) https://doi.org/10.1016/j.ijscr.2020.09.080
[3]	Singh I, Joshi MK, Jaura MS. Strangulation of penis by a ball bearing device. J Sex Med. 2010 Nov; 7(11): 3793-7. https://doi.org/10.1111/j.1743-6109.2010.01929.x
[4]	Dawood O, Tabibi S, Fiuk J, Patel N, El-Zawahry A. Penile ring entrapment - A true urologic emergency: Grading, approach, and management. Urol Ann. 2020 Jan-Mar; 12(1): 15-18. https://doi.org/10.4103/UA.UA_16_19 Epub 2019 Nov 7.
[5]	Ivanovski O, Stankov O, Kuzmanoski M, Saidi S, Banev S, Filipovski V, Lekovski L, Popov Z. Penile strangulation: two case reports and review of the literature. J Sex Med. 2007 Nov; 4(6): 1775-80. https://doi.org/10.1111/j.1743-6109.2007.00601.x Epub 2007 Sep 21.
[6]	Sarkar D, Gupta S, Maiti K, Jain P, Pal DK. Penile strangulation by different objects and its removal by the modified string method: Management of four cases with review of literature. Urol Ann. 2019 Jan-Mar; 11(1): 1-5. https://doi.org/10.4103/UA.UA_178_17
[7]	Sawant AS, Patil SR, Kumar V, Kasat GV. Penile constriction injury: An experience of four cases. Urol Ann. 2016; 8: 512–5. https://doi.org/10.4103/0974-7796.192101
[8]	How Do Erectile Dysfunction Rings Work? [03 43 13 3B 9F 56 66 A7 A4 29 2C DE 2B 13 7E 2A 25 CD] 2013. [Last accessed on 2019 Feb 04]. Available from: https://prostate.net/articles/how-do-erectile-dysfunction-rings-work
[9]	Agu TC, Obiechina N. Post coital penile ring entrapment: A report of a non-surgical extrication method. Int J Surg Case Rep. 2016; 18: 15-7. https://doi.org/10.1016/j.ijscr.2015.11.019 Epub 2015 Nov 30.
[10]	Morentin B, Biritxinaga B, Crespo L. Penile strangulation: report of a fatal case. Am J Forensic Med Pathol. 2011 Dec; 32(4): 344-6. https://doi.org/10.1097/PAF.0b013e3181d8e3a5
[11]	Xu T, Gu M, Wang H. Emergency management of penile strangulation: a case report and review of the Chinese literature. Emerg Med J. 2009 Jan; 26(1): 73-4. https://doi.org/10.1136/emj.2008.062877
[12]	Patel C, Kim R, Delterzo M, Wang R. Prolonged penile strangulation with metal clamps. Asian J Androl. 2006 Jan; 8(1): 105-6. https://doi.org/10.1111/j.1745-7262.2006.00078.x
[13]	Wu X, Batra R, Al-Akraa M, Seneviratne LN. Penoscrotal entrapment: a safe, innovative technique for removing metal constricting devices. BMJ Case Rep. 2012 Sep 25; 2012: bcr2012006466. https://doi.org/10.1136/bcr-2012-006466

Cite This Article

Plain Text BibTeX RIS

APA Style

Kenenna, O., Lovely, F., Michael, A., Christopher, O. (2025). Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony. World Journal of Medical Case Reports, 6(2), 15-19. https://doi.org/10.11648/j.wjmcr.20250602.12

Copy | Download

ACS Style

Kenenna, O.; Lovely, F.; Michael, A.; Christopher, O. Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony. World J. Med. Case Rep. 2025, 6(2), 15-19. doi: 10.11648/j.wjmcr.20250602.12

Copy | Download

AMA Style

Kenenna O, Lovely F, Michael A, Christopher O. Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony. World J Med Case Rep. 2025;6(2):15-19. doi: 10.11648/j.wjmcr.20250602.12

Copy | Download

@article{10.11648/j.wjmcr.20250602.12,
  author = {Obiatuegwu Kenenna and Fidelis Lovely and Anyabolu Michael and Otabor Christopher},
  title = {Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony
},
  journal = {World Journal of Medical Case Reports},
  volume = {6},
  number = {2},
  pages = {15-19},
  doi = {10.11648/j.wjmcr.20250602.12},
  url = {https://doi.org/10.11648/j.wjmcr.20250602.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20250602.12},
  abstract = {Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to psychiatric disturbances or depression. Mental health evaluation remains vital to forestall future reoccurrence of such bizarre tendency. Urgent retrieval of the offending device is vital to preserve sexual function. We report our experience with a 28 year old male patient who had penile ring entrapment and acute urinary retention requiring anesthesia to ease manipulation with advanced orthopedic device (wire cutter). Due to consequent acute urinary retention, we immediately inserted a size 16 french two way catheter for drainage of the urine and forestall progressive retention of urine. We drained 700 ml while on table which further confirms acute urinary retention which probably must have added to the excruciating pain. Subsequent interaction with the patient was uneventful and he was counseled to avoid such self-sexual practice in future. Mental health evaluation by the mental health physicians was also uneventful.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony

AU  - Obiatuegwu Kenenna
AU  - Fidelis Lovely
AU  - Anyabolu Michael
AU  - Otabor Christopher
Y1  - 2025/05/26
PY  - 2025
N1  - https://doi.org/10.11648/j.wjmcr.20250602.12
DO  - 10.11648/j.wjmcr.20250602.12
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 15
EP  - 19
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20250602.12
AB  - Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to psychiatric disturbances or depression. Mental health evaluation remains vital to forestall future reoccurrence of such bizarre tendency. Urgent retrieval of the offending device is vital to preserve sexual function. We report our experience with a 28 year old male patient who had penile ring entrapment and acute urinary retention requiring anesthesia to ease manipulation with advanced orthopedic device (wire cutter). Due to consequent acute urinary retention, we immediately inserted a size 16 french two way catheter for drainage of the urine and forestall progressive retention of urine. We drained 700 ml while on table which further confirms acute urinary retention which probably must have added to the excruciating pain. Subsequent interaction with the patient was uneventful and he was counseled to avoid such self-sexual practice in future. Mental health evaluation by the mental health physicians was also uneventful.

VL  - 6
IS  - 2
ER  -

Copy | Download

Author Information

Obiatuegwu Kenenna

Division of Urology, Department of Surgery, Federal Medical Center, Abuja, Nigeria;Department of Surgery, Baze University, Abuja, Nigeria

Contact Email

http://orcid.org/0009-0008-7344-6819
Fidelis Lovely

Division of Urology, Department of Surgery, Federal Medical Center, Abuja, Nigeria

Contact Email

http://orcid.org/0000-0002-0457-5413
Anyabolu Michael

Division of Urology, Department of Surgery, Federal Medical Center, Abuja, Nigeria

Contact Email

http://orcid.org/0009-0007-8068-1166
Otabor Christopher

Department of Surgery, Alliance Hospital and Serviced Limited, Abuja, Nigeria

Contact Email

http://orcid.org/0009-0008-7344-6819

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Kenenna, O., Lovely, F., Michael, A., Christopher, O. (2025). Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony. World Journal of Medical Case Reports, 6(2), 15-19. https://doi.org/10.11648/j.wjmcr.20250602.12

Copy | Download

ACS Style

Kenenna, O.; Lovely, F.; Michael, A.; Christopher, O. Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony. World J. Med. Case Rep. 2025, 6(2), 15-19. doi: 10.11648/j.wjmcr.20250602.12

Copy | Download

AMA Style

Kenenna O, Lovely F, Michael A, Christopher O. Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony. World J Med Case Rep. 2025;6(2):15-19. doi: 10.11648/j.wjmcr.20250602.12

Copy | Download

@article{10.11648/j.wjmcr.20250602.12,
  author = {Obiatuegwu Kenenna and Fidelis Lovely and Anyabolu Michael and Otabor Christopher},
  title = {Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony
},
  journal = {World Journal of Medical Case Reports},
  volume = {6},
  number = {2},
  pages = {15-19},
  doi = {10.11648/j.wjmcr.20250602.12},
  url = {https://doi.org/10.11648/j.wjmcr.20250602.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20250602.12},
  abstract = {Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to psychiatric disturbances or depression. Mental health evaluation remains vital to forestall future reoccurrence of such bizarre tendency. Urgent retrieval of the offending device is vital to preserve sexual function. We report our experience with a 28 year old male patient who had penile ring entrapment and acute urinary retention requiring anesthesia to ease manipulation with advanced orthopedic device (wire cutter). Due to consequent acute urinary retention, we immediately inserted a size 16 french two way catheter for drainage of the urine and forestall progressive retention of urine. We drained 700 ml while on table which further confirms acute urinary retention which probably must have added to the excruciating pain. Subsequent interaction with the patient was uneventful and he was counseled to avoid such self-sexual practice in future. Mental health evaluation by the mental health physicians was also uneventful.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Penile Strangulation by a Metallic Ring in a Male Adult: New Fangled Idea in Time of Agony

AU  - Obiatuegwu Kenenna
AU  - Fidelis Lovely
AU  - Anyabolu Michael
AU  - Otabor Christopher
Y1  - 2025/05/26
PY  - 2025
N1  - https://doi.org/10.11648/j.wjmcr.20250602.12
DO  - 10.11648/j.wjmcr.20250602.12
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 15
EP  - 19
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20250602.12
AB  - Entrapment of penile ring during self-sexual activity is a rare and bizarre presentation in urology emergency department with imminent risk of distal penile loss and gangrene which may require to penile amputation due to underlying vascular injury. Aside enhancing sexual performance, rings may also be inserted for autoerotic, masturbation or due to psychiatric disturbances or depression. Mental health evaluation remains vital to forestall future reoccurrence of such bizarre tendency. Urgent retrieval of the offending device is vital to preserve sexual function. We report our experience with a 28 year old male patient who had penile ring entrapment and acute urinary retention requiring anesthesia to ease manipulation with advanced orthopedic device (wire cutter). Due to consequent acute urinary retention, we immediately inserted a size 16 french two way catheter for drainage of the urine and forestall progressive retention of urine. We drained 700 ml while on table which further confirms acute urinary retention which probably must have added to the excruciating pain. Subsequent interaction with the patient was uneventful and he was counseled to avoid such self-sexual practice in future. Mental health evaluation by the mental health physicians was also uneventful.

VL  - 6
IS  - 2
ER  -

Copy | Download