Novel Extraction Technique to Remove a Penile Constriction Device

ABSTRACTIntroductionPenile strangulation can be a challenging clinical situation and usually requires prompt treatment. The clinician should be aware of the various techniques to remove such devices.AimThe aim of this article was to describe a new noninvasive technique, the “pseudo‐pulley” method, to remove a penile constriction device.MethodsDuring an episode of medication‐induced hypersexuality, a 63‐year‐old man presented to the emergency department with a cast iron locking nut of a vehicle towbar lodged at the base of the patient's penis.ResultsThe utilization of the “pseudo‐pulley” method to remove the constriction device negated the need for more invasive measures. We outline a step‐by‐step description on this new technique. The patient's recovery was complete and uneventful.ConclusionThe current case report describes a noninvasive technique for removing a penile constriction device that does not rely on specialized equipment and industrial drills that can cause iatrogenic injury. Katz DJ, Chin W, Appu S, Harper M, Vukasin F, Tay YK, Pang C, and Dowling C. Novel extraction technique to remove a penile constriction device. J Sex Med 2012;9:937–940.