{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:01Z","timestamp":1756361401893,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Penoscrotal entrapment is a rare urological emergency that requires urgent treatment to avoid penile ischaemia and subsequent erectile dysfunction. Non-metallic and thin metallic objects are easily removed via cutting, while thick metallic constricting devices require specialist saws or motorised cutters, all of which may be difficult to locate in the emergency setting. We report a case of a 45-year-old patient who presented with a 48-h history of gross penoscrotal oedema secondary to entrapment by a thick metal ring (internal diameter 55\u2005mm, external diameter 74\u2005mm and thickness 19\u2005mm). The positioning, thickness of the ring, delayed presentation and extensive oedema meant its removal was especially challenging. We improvised a simple, three-step technique (aspiration, strapping and sling) which enabled the metal ring to be removed without the need for specialist equipment. We would encourage others to employ this safe technique in an emergency setting.<\/jats:p>","DOI":"10.1136\/bcr-2012-006466","type":"journal-article","created":{"date-parts":[[2012,9,25]],"date-time":"2012-09-25T19:52:30Z","timestamp":1348602750000},"page":"bcr2012006466","source":"Crossref","is-referenced-by-count":9,"title":["Penoscrotal entrapment: a safe, innovative technique for removing metal constricting devices"],"prefix":"10.1136","volume":"2012","author":[{"given":"Xilin","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Urology, Royal Free Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramesh","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Free Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud","family":"Al-Akraa","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Free Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lasantha Niroshan","family":"Seneviratne","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Free Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,9,25]]},"reference":[{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2007.00601.x"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.00848.x"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.3","first-page":"e51","article-title":"Penile strangulation: report of two unusual cases","volume":"50","author":"Ooi","year":"2009","journal-title":"Singapore Med J"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.4","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2008.062877"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.5","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e3181d8e3a5"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.6","doi-asserted-by":"crossref","first-page":"W15","DOI":"10.1308\/147870809X400976","article-title":"Genitalia strangulation\u2014fireman to the rescue!","volume":"91","author":"Sathesh-Kumar","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.06.034"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2010.05.059"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2008.01137_1.x"},{"key":"2025082722550597000_2012.sep25_2.bcr2012006466.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.04.058"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006466","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:55:14Z","timestamp":1756360514000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006466"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,25]]},"references-count":10,"alternative-id":["10.1136\/bcr-2012-006466"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006466","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,9,25]]}}}