Moderator: Mod Squad
The greatest penis rescue story ever wrote:A 35 year old man presented to M.B. hospital, Udaipur with extremely swollen penis. On examination two metallic rings were seen at the base of penis.
On taking history it was revealed that he was advised by his friend to pass metallic ring over base of penis, to obviate penile erection and auto-ejaculation at night. He was practicing this method successfully since one year. On examination, gross oedema on distal part of penis was present and two metal rings were applied on base of penis (Fig.1) which could not be taken out. Patient was shifted to emergency O.T. in an effort to remove metallic rings. Lidocaine jelly was applied over penis, given multiple puncture, compression on penis was applied by hand and thin streams of fluid came out from multiple puncture sites but with all these we were unable to remove the rings and we did not get the suitable instrument to cut the rings safely. Finally an intravenous drip set tube was applied circumferentially, starting from tip of the penis to its base in order to have an even compression as a tourniquet (Fig. 2). The compression was maintained for 4 minutes and this procedure was repeated for five times. (In between the tourniquet application the penile compression was maintained by squeezing the penis with palm). This manoeuver reduced penile oedema dramatically and metallic rings could be retrieved manually over lubricated jelly. The whole procedure took around 50 minutes. The two rings were of 3.5 cm x 2.5 cm x 2 cm and 3 cm x 2 cm x 1.5 cm external diameter, internal diameter and width respectively (Fig. 3) . . .
There was no damage to penis at strangulation site as well as on distal part. Penis was cleaned with povidone-iodine solution, an antibiotic ointment was applied and dressed with vaseline gauge and light pressure bandage applied.
Patient remained cooperative during procedure. Before starting the procedure patient was pre-medicated with inj atropine 0.6 mg, midazolam 5 mg and tramadol HCl 100 mg intravenously with a patency iv drip and 2% lidocaine jelly was applied over penis. Antibiotics and Tetanus prophylaxis was also given. Psychoanalysis later revealed no abnormality. …
The method described above is highly effective, cost saving, complication free and can be done by every practitioner.