Penile Incarceration by Metallic Ring.

Application of constricting objects over penis for auto-erotic purpose can lead to dangerous results. A variety of metallic and non-metallic objects are used. The removal of these objects is a great challenge. We report a case of a young man who placed a hard metallic ring around his penis for sexual pleasure. A 22-year old man presented in emergency department with complain of painful swelling of his penis since 4 hours. Physical examination revealed part of penis distal to ring as congested and markedly tender with decreased sensation. He was diagnosed as grade 2 penile incarceration injury. After giving analgesic, intravenous fluid and antibiotics, the patient was shifted to emergency operation room. Under general anaesthesia, the metallic ring was removed by string method and multiple aspirations technique. The ring was successfully removed. His postoperative recovery was uneventful.