PMC4864529_01
Inside the operative theatre, severe penile edema and color change due to the tight metallic ring at the base of the penis.
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Also, there was a metallic ring stuck at the root of the penis (Figure 1).
Bone cutting forceps used.
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The metallic ring was cut from one side by a bone cutting forceps (Stille Liston Bone Cutting Forceps 23 cm Curved Orthopedic Surgical Instruments) (Figure 2), the blunt surface of the forceps blade was introduced tangentially between the ring and the penis with the help of lubricant gel, and then rotation of the forceps was done to get the metallic ring between its sharp blades and the penis was liberated; afterwards the patient was under observation for 48 hours, administration of antibiotics (amoxicillin/clavulanic acid 625 mg twice daily for 5 days to avoid infection as the tissues were edematous and there were minor skin abrasions from the bone cutting forceps usage) and antiedematous measures (trypsin 5 mg + chymotrypsin 5 mg) used 3 times daily for 1 week, in addition to penile elevation.
After 2 weeks of the admission.
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The patient regained his complete erectile capacity during his follow-up (Figure 3).