A 33-year-old male patient was referred with progressive penile pain and swelling following history of self-placement of two industrial steel ball bearings for sexual gratification about 2 weeks back. The patient denied any history of trauma, insect bite, drug abuse and was dribbling urine, was sexually active and his history was unremarkable. Local examination revealed an engorged tender penis with two steel ball bearings strangulating the root of penis with pressure necrosis exfoliation/pregangrene of penile skin (figure 1A). The blood biochemistry/urine reports were within normal limits and corporal blood gas analysis (pO2 25 mm Hg, pCO2 65 mm Hg, pH 7.18) confirmed local ischaemia. Despite multiple attempts at corporal injections/aspirations (diluted norepinephrine), intermittent penile pneumatic pressure cuff inflation (<80 mm Hg), Gigli wires …
Language: en
LA - en SN - 1757-790X UR - http://dx.doi.org/10.1136/bcr-2018-227586 ID - ref1 ER -