Novel Extraction Technique to Remove a Penile Constriction Device

Abstract

ABSTRACT Introduction Penile strangulation can be a challenging clinical situation and usually requires prompt treatment. The clinician should be aware of the various techniques to remove such devices. Aim The aim of this article was to describe a new noninvasive technique, the “pseudo-pulley” method, to remove a penile constriction device. Methods During an episode of medication-induced hypersexuality, a 63-year-old man presented to the emergency department with a cast iron locking nut of a vehicle towbar lodged at the base of the patient’s penis. Results The utilization of the “pseudo-pulley” method to remove the constriction device negated the need for more invasive measures. We outline a step-by-step description on this new technique. The patient’s recovery was complete and uneventful. Conclusion The current case report describes a noninvasive technique for removing a penile constriction device that does not rely on specialized equipment and industrial drills that can cause iatrogenic injury.