PMC9841161_01
a) 44 year old male with nine metal rings constricting both penis and scrotum, marked oedema and erythema to penis and scrotum. b) Tongue depressor and saline gauze to protect penile tissues while circular saw cuts rings. c) Flexible urethroscopy demonstrates some inflammation of urethra at area of rings. d) Penis and scrotum following successful removal of rings.
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On examination, the patient was in pain but vital parameters were within normal limits. 9 metal rings of a diameter of roughly 1cm were firmly circumscribing the base of the erect penis and scrotum (Fig. 1a). To avoid thermal injuries to the underlying tissues, cool sterile saline was run over the rings while cutting took place (Fig. 1b). All nine metal rings were successfully removed, and a flexible cystoscopy was performed which revealed irritated urethral mucosa in the distal urethra and so an indwelling catheter was placed for 7 days (Fig. 1c and d).