In Practice

Successful removal of a penile constriction wedding ring in a rural area

A Fhima, N Lahouel


Background. Penile strangulation is a rarely described medical emergency. Removal of the strangulating object is challenging, with a lack of proper guidelines.

Objective. To describe the challenges faced during an attempt to urgently remove a metal object (wedding ring) constricting an erect penis.

Methods. We report a case of penile strangulation with a wedding ring in an adult man who presented at Van Velden Hospital casualty department, Limpopo, South Africa, and review the related literature.

Result. The ring was successfully removed using an aspiration technique (via a pink needle).

Conclusion. No proper guidelines exist for the treatment of this condition, so the ‘best method’ is the one with a successful outcome.

Authors' affiliations

A Fhima, Casualty Department, Van Velden Hospital, Tzaneen, Limpopo, South Africa

N Lahouel, Department of Plastic, Reconstructive and Aesthetic Surgery, Chris Hani Baragwanath Hospital and University of the Witwatersrand, Johannesburg, South Africa

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Penile strangulation; Penile ring; Wedding ring; Auto-erotic

Cite this article

South African Medical Journal 2016;106(11):1088-1089. DOI:10.7196/SAMJ.2016.v106i11.11103

Article History

Date submitted: 2016-11-02
Date published: 2016-11-02

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