• J Emerg Med · Oct 2009

    Case Reports

    Safe emergency department removal of a hardened steel penile constriction ring.

    • Jeremy Peay, James Smithson, James Nelson, and Peter Witucki.
    • Department of Emergency Medicine, University of California, San Diego, San Diego, California, USA.
    • J Emerg Med. 2009 Oct 1;37(3):287-9.

    BackgroundPenile constriction devices are used for the enhancement of sexual performance. These devices have the potential to become incarcerated, leading to necrosis and amputation if not removed promptly.ObjectiveThis article presents a step-by-step approach for the safe removal of a hardened steel penile constriction device using somewhat unorthodox tools found in a hospital.Case ReportWe present a case of an incarcerated hardened steel penile constriction ring that was not able to be removed with conventional techniques. We describe a novel technique using an electric grinder and laryngoscope blade.ConclusionThe technique described in this article is a valuable and relatively safe technique for the Emergency Physician to facilitate the timely removal of a hardened steel constriction device.

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