Philippine Journal of Urology 2017;27(2):138-143
A case of penile strangulation in a nine year old boy
Rajiv H. Kalbit 1 ; Paul Nimrod B. Firaza 1 ; Rufino T. Agudera 1
Affiliations
Keywords
Penile strangulation; Fidget spinner
Country
Philippines
Language
English
Abstract
This case report discusses penile strangulation caused by a ball bearing of a fidget spinner in a 9 year - old child. Initial examination revealed a 2 cm x 2 cm metallic ball bearing encircling the base of the penis with gross edema of the distal penile shaft and erythematous penile skin. To release the bearing, a modified string method was used. After removal, skin erosion was treated with debridement and applied with hydrocolloid dressing. Analysis and cross referencing of the case with literature suggest that successful extraction of a constricting object and treatment of penile strangulation, due to the varied nature, causes and effects of penile strangulation, greatly depends on immediate diagnosis and treatment. This spares one from immediate and long term complications, or necrosis with subsequent auto-amputation.
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