{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:18:14Z","timestamp":1787681894280,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,14]],"date-time":"2020-09-14T00:00:00Z","timestamp":1600041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Penile ring entrapment during self-sexual satisfaction is one of the rare cases in general and urologic surgery. When the penile shaft is entrapped in a metal ring, one risks possible complete loss of distal penis to strangulation and gangrene. We present management of a case of entrapped penile ring with penile strangulation in resource limited set up amidst absence of management guidelines. The case has been reported in line with SCARE criteria (1).<\/jats:p>\n <\/jats:sec>\n \n Presentation of case<\/jats:title>\n A 43-year-old male presented after 72 h of pilot ball bearing ring penile insertion for sustainability of an erection, with 24 -h history of painful penile swelling and acute urine retention. The patient had history of using recreational drugs and erectile dysfunction with evidence of high-grade penile injuries at presentation. The ring was cut using electrically powered angled grinder, with full penile recovery on conservative management in eight months of follow up.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Entrapped penile ring is clinically diagnosed but establishing incentive of insertion is difficult just like identifying a correct technique to remove it. Entrapped ring obstructs blood and lymphatic flow leading to oedema and ischaemia with associated penile tissue injuries. High grade penile injuries or penile amputation are sequels of delayed ring removal and good outcomes are tangible through timely multidisciplinary approach.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Eroticism and erectile dysfunctions are known incentive to using penile rings to sustain erection. Delayed ring removal results in its entrapment and penile strangulation and related complications. Timely removal of ring requires multidisciplinary approach and local management protocols.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.080","type":"journal-article","created":{"date-parts":[[2020,9,19]],"date-time":"2020-09-19T11:18:30Z","timestamp":1600514310000},"page":"104982","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Penile ring entrapment and strangulation"],"prefix":"10.1097","volume":"80","author":[{"given":"Lauben Amagara","family":"Kyomukama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robinson","family":"Ssebuufu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaban Abdullah","family":"Wani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Musa Abbas","family":"Waziri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herman","family":"Lule","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-1-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R3-1-20260114","doi-asserted-by":"crossref","first-page":"15","DOI":"10.4103\/UA.UA_16_19","article-title":"Penile ring entrapment \u2013 a true urologic emergency: grading, approach, and management","volume":"12","author":"Dawood","year":"2020","journal-title":"Urol. Ann"},{"key":"R8-1-20260114","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4103\/ami.ami_87_17","article-title":"Penile entrapment: a case where innovation is the need of the hour","volume":"5","author":"Bhat","year":"2018","journal-title":"Acta Med. Int"},{"key":"R9-1-20260114","first-page":"1","article-title":"Removal of a penile constriction device with a large orthopedic pin cutter","volume":"2014","author":"Chennamsetty","year":"2014","journal-title":"Case Rep. Urol"},{"key":"R11-1-20260114","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1590\/s1677-5538.ibju.2018.0667","article-title":"Treatment options and outcomes of penile constriction devices","volume":"45","author":"Koifman","year":"2019","journal-title":"Int. Braz. J. Urol"},{"key":"R14-1-20260114","doi-asserted-by":"crossref","first-page":"4160","DOI":"10.18203\/2349-2902.isj20195145","article-title":"Penile strangulation due to metallic ring: a surgical emergency","volume":"6","author":"Saroj","year":"2019","journal-title":"Int. Surg. J"},{"key":"R15-1-20260114","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1111\/j.1743-6109.2011.02598.x","article-title":"Novel extraction technique to remove a penile constriction device","volume":"9","author":"Katz","year":"2012","journal-title":"J. Sex Med"},{"key":"R16-1-20260114","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1159\/000343554","article-title":"Penile incarceration with metallic foreign bodies: management and review of literature","volume":"7","author":"Trivedi","year":"2013","journal-title":"Curr. Urol"},{"key":"R17-1-20260114","doi-asserted-by":"crossref","first-page":"96","DOI":"10.3329\/jss.v17i2.43784","article-title":"Surgical outcome for treating penile strangulation by heavy metallic ring","volume":"17","author":"Saha","year":"2019","journal-title":"J. Surg. Sci"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220307537?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220307537?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.09.080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:39:55Z","timestamp":1768397995000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.09.080"}},"subtitle":["A case report at Kampala International University Teaching Hospital in Western Uganda"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.09.080","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}