[Total infarction of the penis caused by entrapment in a plastic bottle].

Abstract

Penile strangulation injuries are rare emergency situations, but need a fast urological emergency management for decompression of the penis and for removing of the foreign bodies. Strangulation objects can be metallic or non-metallic objects and are usually used for erotic or autoerotic purposes, for masturbation or increasing erection. We report a case of a 62-year old male with a total infected gangrene of the penis caused by a strangulation of a plastic bottle neck which continued 14 days. A total amputation of the penis was necessary. A perineal urethrostomy was performed as definitive urine diversion. Bacteriologic examination has identified Proteus mirabilis. Thus, a systemic antibiotic therapy was perioperatively applicated. The further course was uneventful with a secondary healing wound.

• Authors: M Maruschke, H Seiter
• Journal: Der Urologe. Ausg. A (Urologe A) Vol. 43 Issue 7 Pg. 843-4 (Jul 2004) ISSN: 0340-2592 [Print] Germany
• Vernacular Title: Totale Penisinfarzierung durch Strangulation in einer Plastikflasche.
• PMID: 15205739 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Constriction, Pathologic (etiology)
• Emergencies
• Gangrene (surgery)
• Humans
• Infarction (etiology, surgery)
• Male
• Middle Aged
• Necrosis
• Penis (blood supply, pathology, surgery)
• Perineum (surgery)
• Syncope (etiology)
• Urethra (surgery)