| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000434806 |
| ISSN: | 1677-5538 |
| Authors: | Koifman, Leandro1 Hampl, Daniel1 Silva, Maria Isabel1 Pessoa, Paulo Gabriel Antunes1 Ornellas, Antonio Augusto2 Barros, Rodrigo1 |
| Institutions: | 1Hospital Municipal Souza Aguiar, Rio de Janeiro. Brasil 2Instituto Nacional do Cancer, Rio de Janeiro. Brasil |
| Year: | 2019 |
| Season: | Mar-Abr |
| Volumen: | 45 |
| Number: | 2 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Purpose: To study the effect of penile constriction devices used on a large series of patients who presented at our emergency facility. We explored treatment options to prevent a wide range of vascular and mechanical injuries occurring due to penile entrapment. Materials and Methods: Between January 2001 and March 2016, 26 patients with penile entrapment were admitted to our facility and prospectively evaluated. Results: The time that elapsed from penile constrictor application to hospital admission varied from 10 hours to 6 weeks (mean: 22.8 hours). Non-metallic devices were used by 18 patients (66.6%) while the other nine (33.4%) had used metallic objects. Acute urinary retention was present in six (23%) patients, of whom four (66.6%) underwent percutaneous surgical cystotomy and two (33.4%) underwent simple bladder catheterization. The main reason for penile constrictor placement was erectile dysfunction, accounting for 15 (55.5%) cases. Autoerotic intention, psychiatric disorders, and sexual violence were responsible in five (18.5%), five (18.5%), and two (7.4%) cases, respectively. The mean hospital stay was 18 hours (range, 6 hours to 3 weeks). Conclusion: Penile strangulation treatment must be immediate through the extraction of the foreign body, avoiding vascular impairments that can lead to serious complications. Most patients present with low-grade injuries and use penile constrictors due to erectile dysfunction. Removal of constrictor device can be challenging. The use of specific tools for achieving penile release from constrictors is a fast, safe and effective method. Patients with urinary retention may require urinary diversion |
| Disciplines: | Medicina |
| Keyword: | Urología, Terapéutica y rehabilitación, Pene, Dispositivos de constricción peneana, Erección, Lesiones traumáticas |
| Keyword: | Urology, Therapeutics and rehabilitation, Penis, Penile constriction devices, Erection, Traumatic lesions |
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