Man’s penis got stuck in a bottle for 2 months

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Strangulation of the penis

Strangulation of the penis – a surgical emergency

Strangulation of the penis is a surgical emergency that is often encountered in patients with psychiatric disorders. In addition, it is also seen in patients attempting to increase sexual arousal. Patients commonly report using metallic and non-metallic plastic bottles. This article describes the case report of a man with a history of mental health issues whose penis got stuck in a bottle. According to the case report, his penis was stuck in the bottle for two months which goes to show that even to this day there is little support for people with mental health issues.

Fig. 1
Fig. 1. Penile strangulation by a plastic bottle neck with associated edema and proliferative growth.

The authors of the paper further wrote, “Since he was mentally ill, he did not reveal the incident with his family members.” And by the time the patient got help, gross examination of the penis showed edema and proliferative growths. “The shame felt by the patient is the root cause for late surgical consultation and are prone to develop complications,” the authors wrote in the study.

Treatment often includes simple intervention with a standard instrument with appropriate surgical skills

The choice of treatment method depends on the severity of the case. However, because a standard instrument failed to remove the bottle, it was removed with a cable wire cutter. The patient was discharged on the same day and called for a follow-up. He was lost to follow up. Psychiatric patients commonly deny medical attention because of shame. However, penile strangulation should be addressed quickly with simple instrumentation used in routine surgical practice to remove the offending objects.

“Penile strangulation is common in psychiatric patients and warrants emergency management to preserve the organ function. Each case is managed exclusively according to its clinical findings and operative settings. Management depends on the type and size of the constricting object. In addition, it also depends on the available instruments, time after incarceration, degree of injury and experience of the surgeons. Different methods and tools can be used depending upon clinical scenarios,” the team further concluded.

Source: ScienceDirect

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Dr. Aiman Shahab is a dentist with a bachelor’s degree from Dow University of Health Sciences. She is an experienced freelance writer with a demonstrated history of working in the health industry. Skilled in general dentistry, she is currently working as an associate dentist at a private dental clinic in Karachi, freelance content writer and as a part time science instructor with Little Medical School. She has also been an ambassador for PDC in the past from the year 2016 – 2018, and her responsibilities included acting as a representative and volunteer for PDC with an intention to make the dental community of Pakistan more connected and to work for benefiting the underprivileged. When she’s not working, you’ll either find her reading or aimlessly walking around for the sake of exploring. Her future plans include getting a master’s degree in maxillofacial and oral surgery, settled in a metropolitan city of North America.

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