Penile ring strangulation injury, what to do when the bolt cutters don't work: a case report

Abstract

Background: Penile constriction rings are most used for sexual pleasure and the management of sexual dysfunction. However, they pose a risk of injury and can be challenging to remove when strangulation occurs.

Case description: We present a case of a patient with urinary retention and a strangulation injury from a penile constriction ring present for 19 h before initial presentation. Multiple attempts to remove the penile ring were unsuccessful, and ultimately, operative management was required.

Conclusions: We describe an effective technique for the removal of a stainless-steel penile constriction ring using a Stryker 505 power revision drill with a metal cutting wheel, with good functional outcomes.

Keywords: case report; ischemia; penile constriction ring; penile strangulation; trauma.

Handa N, Hudnall MT, Amarasekera C. Penile ring strangulation injury, what to do when the bolt cutters don't work: a case report. Can J Urol. 2026 Jun 26;33(3):719-722. doi: 10.32604/cju.2025.070415. PMID: 42415593.