Strangulation of Penis: Two Cases Report & Review


Various metallic and non-metallic objects are placed over the penis to increase sexual performance or because of sexual gratification. Hypersexuality can be cause of such bizarre behaviors. We present two cases of perversion due to hypersexual behavior. One patient used a hard plastic disposable cold drink bottle nozzle over his penis for masturbation which resulted in strangulation of the penis. In the 2nd case, a constricting ring was used to prolong the erection which resulted in necrosis of penile skin. Both cases were managed successfully.

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Goyal, S. , Saini, I. and Goyal, S. (2015) Strangulation of Penis: Two Cases Report & Review. Open Access Library Journal, 2, 1-5. doi: 10.4236/oalib.1101594.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Van Ophoven, J. and Kernion, D.E. (2000) Clinical Management of Foreign Bodies of the Genitor-Urinary Tract. The Journal of Urology, 164, 274-287.
[2] Ooi, C.K., Goh, H.K., Chong, K.T. and Lim, G.H. (2009) Penile Strangulation: Report of Two Unusual Cases. Singapore Medical Journal, 50, e50-e52.
[3] Okeke, L.I. (2008) Thread Embedded into Penile Tissue over Time as an Unusual Hair Thread Tourniquet Injury to the Penis: A Case Report. Journal of Medical Case Reports, 2, 230.
[4] Dar, N.R., Siddiqui, S., Qayyum, R. and Ghafoor, T. (2007) Hair Coil Strangulation––An Uncommon Cause of Penile Edema. Pediatric Dermatology, 24, E33-E35.
[5] Bhat, A.L., Saxena, G., Goyal, R. and Patni, M. (2001) A Rare Foreign Body on Penis Leading to Incarceration. International Urology and Nephrology, 32, 399-401.
[6] Bhat, A.L., Kumar, A., Mathur, S.C. and Ganwal, K.C. (1991) Penile Strangulation. British Journal of Urology, 68, 618-621.
[7] Jain, S., Gupta, A., Singh, T., Aggarwal, N., Sharma, S. and Jain, S. (2004) Penile Strangulation by a Hard Plastic Bottle: A Case Report. Indian Journal of Surgery, 66, 173-175.
[8] Kobayashi, H., Kaneko, G., Nishimoto, K. and Uchida, A. (2010) A Case of Penile Strangulation by Polyethylene Terephthalate Bottle. Acta Urologica Japonica, 56, 63-65.
[9] Voegeli, T.A. and Effert, P.J. (2005) Pentaethylene-Terephthalate (PET) Bottles: A New Device for Autoerotic Strangulation of the Penis Causing Serious Injury. Archives of Sexual Behavior, 34, 469-470.
[10] Joshi, P., Patwardhan, P., Gadgil, D. and Kulkarni, H. (2009) Engorgement of Penis by Encircling Objects—An Emergency. The Internet Journal of Surgery, 24, 1.
[11] Rich, A. and Keating, M.A. (1999) Hair Tourniquet Syndrome of Clitoris. Journal of Urology, 162, 190.
[12] Singh, R. and Singh, A. (2006) Penile Strangulation by Multiple Metallic Rings, Its Treatment and Use of Hand Doppler. The Internet Journal of Urology, 5.
[13] McGraw, J.B., Myers, B. and Shanklin, K.D. (1977) The Value of Fluorescein in Predicting the Viability of Arterial Flaps. Plastic and Reconstructive Surgery, 60, 710-719.
[14] Silberstein, J., Grabowski, J., Lakin, C. and Goldstein, I. (2008) Penile Constriction Devices: Case Report, Review of the Literature, and Recommendations for Extrication. The Journal of Sexual Medicine, 5, 1747-1757.
[15] Banyra, D., Sheremeta, R. and Shulyak, A. (2013) Strangulation of Penis: Two Case Reports. Central European Journal of Urology, 66, 242-245.
[16] Kafka, M.P. and Hennen, J. (2003) Hypersexual Desire in Males: Are Males with Paraphilias Different from Males with Paraphilia-Related Disorders? Sexual Abuse, 15, 307-321.

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