{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T06:41:07Z","timestamp":1776235267854,"version":"3.50.1"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Penile strangulation represents an uncommon urological emergency that has been increasingly reported in recent literature. However, chronic penile strangulation resulting from subcutaneous embedding of foreign objects is even more rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A male patient presented to the urology outpatient clinic with progressive swelling at the penile base and purulent discharge from the urethral meatus. Clinical evaluation revealed a metal ring that had been placed at the penile base for five years and had gradually become embedded beneath the skin, rendering it invisible to the naked eye. During surgery, an annular metal object was exposed following an incision of the penile skin and successfully removed without urethral injury. At one-month postoperative follow-up, proper wound healing and normal urinary function were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This report describes an exceptionally rare case of chronic penile strangulation. Successful surgical removal of the embedded metal ring was achieved with minimal complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1807432","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:41:07Z","timestamp":1776231667000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical extraction of a metal ring embedded in the penis for five years: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Chaodong","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Urology, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University","place":["Shaoxing, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mengqi","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Urology, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University","place":["Shaoxing, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhirong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Urology, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University","place":["Shaoxing, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1590\/s1677-55382003000400007","article-title":"Chronic penile strangulation","volume":"29","author":"Lopes","year":"2003","journal-title":"Int Braz J Urol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2643","DOI":"10.1016\/j.asjsur.2022.12.148","article-title":"Chronic penile strangulation caused by metal ring: a case report","volume":"46","author":"Xiao","year":"2023","journal-title":"Asian J Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1080\/2090598x.2019.1647677","article-title":"Stepwise approach in the management of penile strangulation and penile preservation: 15-year experience in a tertiary care hospital","volume":"17","author":"Puvvada","year":"2019","journal-title":"Arab J Urol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1016\/j.urology.2004.04.058","article-title":"Penile strangulation treated with the modified string method","volume":"64","author":"Noh","year":"2004","journal-title":"Urology"},{"key":"B5","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1111\/j.1464-410x.1991.tb15426.x","article-title":"Penile strangulation","volume":"68","author":"Bhat","year":"1991","journal-title":"Br J Urol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1747","DOI":"10.1111\/j.1743-6109.2008.00848.x","article-title":"Penile constriction devices: case report, review of the literature, and recommendations for extrication","volume":"5","author":"Silberstein","year":"2008","journal-title":"J Sex Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.eucr.2018.02.005","article-title":"Surgical reconstruction and follow-up of penile strangulation injury","volume":"19","author":"Campbell","year":"2018","journal-title":"Urol Case Rep"},{"key":"B8","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1186\/1752-1947-2-230","article-title":"Thread embedded into penile tissue over time as an unusual hair thread tourniquet injury to the penis: a case report","volume":"2","author":"Okeke","year":"2008","journal-title":"J Med Case Rep"},{"key":"B9","doi-asserted-by":"publisher","first-page":"747","DOI":"10.12998\/wjcc.v10.i2.747","article-title":"Using a fretsaw in treating chronic penial incarceration: a case report","volume":"10","author":"Zhao","year":"2022","journal-title":"World J Clin Cases"},{"key":"B10","doi-asserted-by":"publisher","first-page":"138","DOI":"10.4081\/aiua.2014.2.138","article-title":"Treatment of penile strangulation by the rotating saw and 4-needle aspiration method: two case reports","volume":"86","author":"Talib","year":"2014","journal-title":"Arch Ital Urol Androl"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1807432\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:41:11Z","timestamp":1776231671000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1807432\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":10,"alternative-id":["10.3389\/fsurg.2026.1807432"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1807432","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]},"article-number":"1807432"}}