A 24-year-old Vietnamese man had to cut a steel nut from his penis with a drill after stabbing it while having fun.
The unidentified patient went to a hospital in Ho Chi Minh City, where he told doctors that the clasp had been glued there for 10 hours.
He admitted that he pushed a 2 cm (0.7 inch) hexagon nut around the shaft to improve his masturbation experience.
The uncircumcised patient complains that his penis is numb and he cannot urinate.
His penis was so swollen that doctors could not remove the makeshift pleasure ring by hand and were forced to use a drill to cut it.
Doctors said the steel nut (left), which was 2.7 cm wide (1 inch) inside and 4.1 cm wide (1.6 inch) outside, “tightly gripped the shaft of the penis”, causing difficulty urinating. and decreased sensation in his genitals. Finally, they removed the penis ring after a 45-minute procedure using a hand-held electric drill (right) – which is commonly used to make filling holes and remove plaque, but is also used to remove rings that stick to fingers
Doctors, who described the incident in detail in the Journal of Medical Case Reports, said the man was admitted to the emergency department of Cho Rei Hospital.
The metal nut was stuck 5 inches (1.9 inches) down his penis, “gripping the handle of the penis.”
Doctors note that it causes the patient to have difficulty urinating and reduces the sensation in his genitals.
The man’s foreskin, which had been pulled back during masturbation, was so swollen that he could not return to his normal position and “suffocated” the tip of his penis.
The patient is associated with intravenous drip and is given painkillers, antibiotics and sedatives.
WHAT IS PENIS IMPOSSION?
Penile suffocation is a rare but often dangerous medical emergency that occurs when an object or part of the body blocks the blood supply to the penis.
In the worst cases, lack of blood flow can lead to gangrene and tissue death – necrosis of the penis.
Physicians have developed an assessment system to determine the severity of suffocation:
Grade 1: Swelling of the distal penis.
Grade 2: Skin injury and shrinkage of the corpus spongiosum, but no evidence of urethral injury. Distal edema of the penis with reduced sensitivity of the penis.
Grade 3: Injury to skin and urethra, but without urethral fistula. Loss of distal sensations of the penis.
Grade 4: complete separation of the corpus spongiosum, leading to urethral fistula and contraction of the corpora cavernosa, with loss of distal sensations of the penis.
Grade 5: gangrene, necrosis or complete amputation of the distal penis.
Due to the thickness of the device and how swollen the man’s penis was, doctors were unable to remove it manually with the help of a lubricant.
And they said it was “impossible” to cut the nut with a bolt cutter because there was no space between the strangled object and the skin of the man’s penis.
After consulting with colleagues at the hospital’s dental clinic, medics decided to use a hand-held electric toothbrush, which is commonly used to make fillings and remove plaque, but is also used to remove rings that stick to the teeth. fingers.
The penis ring was finally removed after a 45-minute procedure.
Cutting metal creates heat as a by-product, so the man’s penis had to be sprayed with water to cool during the procedure.
The medics also placed a thin piece of plastic between the device and the penis to prevent injury to the trunk.
After spending the night in the hospital, the man was prescribed antibiotics and painkillers.
A follow-up meeting a month later showed that his penis had returned to normal and he could urinate and stand up, his doctors said.
Penile strangulation was first recorded in the medical literature in 1755 and has since been rarely documented with less than 100 official reports.
The rings of the penis reduce the flow of blood through the veins, which leads to swelling of the penis and testicles.
Doctors said young men often used the devices as part of masturbation to increase sexual satisfaction as well as “sexual curiosity.”
According to their report, older men are more likely to use strangulation items to improve their performance in response to erectile dysfunction.
Doctors noted that sexual intercourse is sometimes performed by the mentally ill.
Items including heavy metal rings and cones, tubes, plastic bottlenecks and plumbing cuffs have been reported to have been used to strangle the penis.
They warned that “urgent” medical attention is needed when the rings of the penis get stuck, because this can cause damage to the blood vessels that carry blood between organs and the heart.
In cases where the penis is suffocated for more than 30 minutes, there is also a risk of sepsis, gangrene – when body tissue turns black and dies – and urethrocutaneous fistula, which is an unwanted opening in the groin where urine can leak.
Penile amputation is necessary in the most severe cases.
Each case of penile strangulation is managed individually, depending on the patient’s case. They note that most patients delay seeking treatment for the disorder.
Doctors said thin non-metallic rings on the penis were “often easy to remove”, but metal objects were “challenging to safely remove” because standard surgical equipment “may not be able to cut them”.
Doctors treating patients with penile strangulation need to be “creative and resourceful” because not all treatments will work for all patients, and saws and forceps have previously been used, doctors said.
The team noted that the use of a dental drill is a “rare” method of removing penile suffocation devices, but it is an “excellent option” as it cuts “very smoothly in a short period of time without significant physical exertion”.
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