Using a fretsaw in treating chronic penial incarceration:A case report  

作　　者：Yi Zhao Xiao-Qiang Xue Hou-Feng Huang Yi Xie Zhi-Gang Ji Xin-Rong Fan 

机构地区：[1]Department of Urology,Peking Union Medical College Hospital,Beijing 100730,China

出　　处：《World Journal of Clinical Cases》2022年第2期747-752,共6页世界临床病例杂志

摘　　要：BACKGROUND Penial incarceration(PI)is a rare situation.It is usually caused by a foreign object which strangulates at the base of the penis.PI may derive from pranks,sexual demand,mental disease,or intention to prohibit urinary disease.Generally,these situations are emergent and immediate treatments are needed.Cases of chronic PI are less reported,and their treating methods are yet to be discussed.CASE SUMMARY We reported a case on treating a 73-year-old male who had PI with a metallic hoop for three months.After multidisciplinary consultation,the operation was performed successfully with the help of a fretsaw.Despite the chronic strangulation,the prognosis of the patient was satisfying.To the best of our knowledge,this case was rare and precious as it featured the longest strangulating time,which might enlighten the treating process of future PI cases.Also,we have reviewed and summarized major published cases to encapsulate appropriate approaches when facing diverse strangulation situations.CONCLUSION The selection of surgical tools depends on the material of the strangulating objects,the availability of equipment,and the severity of the penial damage.The urination function may not be affected after three months of incarceration as in our case,whilst prudent preoperative measures and multidisciplinary evaluations are always essential.Although using a fretsaw is comparatively slow,it is safe and feasible to treat metallic penial incarceration.

关 键 词：Penial incarceration Chronic penial strangulation Fretsaw Surgical treatment Literature review Case report©The Author(s)2022.Published by Baishideng Publishing Group Inc.All rights reserved 

分 类 号：R697.1[医药卫生—泌尿科学]