Removal of Penile Foreign Body using a Cast Cutter

Lee, Jin Ha; Lee, Yong Kyu; Park, Dong Soo; Lee, Young Tae; Hong, Young Kwon

Abstract

Penile incarceration is a serious condition that requires prompt treatment to relieve various complications. A 67-year-old male complaining of penile swelling visited the emergency room for treatment. The penile swelling was caused by a plastic bottleneck which had been placed on the base of the penis 4 hours previously. The diameter of the plastic bottleneck was 2.5 cm. Because the swelling of the penis distal to the constricting bottleneck was so severe, the bottleneck was difficult to be removed. Several methods to remove the bottleneck were tried, such as squeezing, aspiration, and cutting using a metal saw. All of them were unsuccessful. Then a cutting method with a cast cutter was used. It was a great success. It took just 5 minutes to remove the bottleneck. Minimal abrasion of the penile skin was the only complication observed after the procedure.