Penile strangulation by a hard plastic bottle: A case report

Penile strangulation is a rare injury, but requires urgent management. Various metallic and non-metallic objects are placed over the penis to increase sexual performance or because of autoerotic intentions. We describe a case who had put a hard plastic bottle over his penis which resulted in strangulation of the penis. To remove it was a challenge as the chances of injury to the surgeon and the patient were high. Patient was successfully managed and had an uneventful recovery. There was no erectile dysfunction and uroflow was normal. The patient was lost in the follow up, so long term outcome could not be studied. The treatment of penile strangulation is decompression of the constricted penis, so as to facilitate free blood flow and micturition, which requires resourcefulness and presence of mind.

Keywords
Penile strangulation, Urethral injury, Catheterization. Suprapubic Cystostomy, Micturating Cysto-Uretherogram, Uroflowmetry