Penile Strangulation by Self Placement of Metallic Nut: Corporal Cavernosa Tissue Showed Resilience to Thermal Burns Sustained at Removal

dc.contributor.authorKyei, M.Y.
dc.contributor.authorAsante, E.K.
dc.contributor.authorMensah, J.E.
dc.contributor.authorKlufio, G.O.
dc.contributor.authorPaintsil, A.
dc.contributor.authorGepi-atee, S.
dc.contributor.authorMorton, B.
dc.contributor.authorAmpadu, K.
dc.contributor.authorToboh, B.
dc.date.accessioned2019-11-20T16:18:51Z
dc.date.available2019-11-20T16:18:51Z
dc.date.issued2015-03
dc.descriptionJournal Article on Penile Strangulation by Self-Placement of Metallic Nuten_US
dc.description.abstractWe report a case of a 37-year-old male who presented with a 12-hour history of a strangulating 2cm wide by 0.8 cm thick metallic nut on the penile shaft at the peno- scrotal junction. Unlike instances where these metallic objects are placed to enhance sexual stimulation this nut was rather placed to prevent intercourse. A Bosch electric circular grinder was successfully used for removal but a thermal burn to the penile tissues was sustained in the process as the hardness of the nut required a high energy to cut and its thickness did not allow for effective cooling during the process of removal. This resulted in a circumferential denudation of penile skin, a urethro-cutaneous fistula at the penoscrotal junction and a mid-bulbar urethral stricture. The penile wound was subsequently covered with a split skin graft with a delayed closure of the urethrocutaneous fistula and a buccal mucosa patch urethroplasty for the mid bulbar stricture. Despite the degree of thermal burns sustained the patient has maintained good erectile function with grade four rigidity. The tunica albuginea and the underlying corpora cavernosa have shown a significant degree of resilience to thermal burns compared to the corpora spongiosum where the thermal burns led to a urethrocutaneous fistula.en_US
dc.identifier.otherhttp://dx.doi.org/10.4314/gmj.v49i1.10
dc.identifier.urihttp://www.ghanamedj.org/articles/March2012/Penile%20Strangulation.pdf
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/33732
dc.language.isoenen_US
dc.publisherGhana Medical Journalen_US
dc.relation.ispartofseries49;1
dc.subjectPenile Strangulationen_US
dc.subjectMetallic Nuten_US
dc.subjectThermal Burnsen_US
dc.subjectCorpora Cavernosaen_US
dc.subjectUrethrocutaneous Fistulaeen_US
dc.titlePenile Strangulation by Self Placement of Metallic Nut: Corporal Cavernosa Tissue Showed Resilience to Thermal Burns Sustained at Removalen_US
dc.typeArticleen_US

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