PENILE INCARCERATION WITH METALLIC RINGS: OUR EXPERIENCE IN TERTIARY CARE CENTRE OVER 6 YEARS

Volume : VII, Issue : IV, April - 2018

Bagchi Puskal Kumar, Das Nabajeet, Baruah Saumar Jyoti, T. P Rajeev, Barua Sasanka Kumar, Sarma Debanga, Phukan Mandeep

INTRODUCTION: Penile incarceration injury is an uncommon surgical emergency. The aim is to analyze the management of cases of penile

incarceration injuries in relation to grade of trauma, duration of onset of incarceration, technique of removal and outcome of each case.

MATERIALS AND METHODS: This is a retrospective study of 8 patients of penile incarceration injury by encircling metallic objects. Proper

history, duration of injury, type and dimension of metallic object, injury grading, and techniques of removal and postoperative complication of each

case were analysed.

RESULTS: We used string technique and its variants, manual cutting of ring, aspiration of blood from corporal bodies and surgical techniques to

remove the offending objects.

CONCLUSION: Grades 1–3 can be treated with the string technique, aspiration and cutting techniques. Cutting devices have been used for all

grades of injuries. The presence of devitalized tissue, in grade 5 and possibly grade 4 trauma, requires degloving and skin grafting if necessary.