madman
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The first case involves a 24-year-old male who presented with a thick hexagonal steel nut entrapping the penile shaft for 10 hours, leading to urinary retention and decreased sensation. Traditional removal methods were ineffective due to severe penile swelling and the nut's thickness. A dental diamond drill handpiece was employed to carefully cut the nut without injuring the penile skin, aided by continuous water irrigation to prevent thermal damage. The procedure lasted approximately 45 minutes, resulting in successful removal with no subsequent complications.
The second and third cases further demonstrate the application of the dental drill handpiece in managing similar emergencies involving different metallic objects. Each case highlights the challenges posed by the objects' size, material, and the degree of penile swelling, as well as the importance of innovative techniques and interdisciplinary collaboration.
The video also reviews the literature on penile strangulation, discussing grading systems, treatment options, and potential complications. These cases underscore the critical need for prompt intervention and creative problem-solving in urological emergencies to preserve penile function and prevent severe outcomes.
This video serves as an educational tool for urologists and emergency physicians, demonstrating the effective use of a dental drill handpiece in managing penile strangulation caused by metallic objects. It emphasizes the importance of surgical technique, interdisciplinary collaboration, and post-operative care to achieve optimal outcomes in treating this rare but serious condition.
VJSM - Use Of Dental Drill handpiece To Remove Steel Nut Causing Penile Strangulation: A Case Report And review Of The Literature
ISSM's new Video Journal of Sexual Medicine (VJSM) is a peer-reviewed journal dedicated to publishing video content related to sexual medicine in general
www.vjsm.info
Description
Penile strangulation is a rare but serious urological emergency that requires prompt intervention to prevent complications such as ischemia, necrosis, and potential loss of the distal penis. This video presents three cases of penile strangulation caused by metallic objects, with a focus on the innovative use of a dental drill handpiece for successful removal.The first case involves a 24-year-old male who presented with a thick hexagonal steel nut entrapping the penile shaft for 10 hours, leading to urinary retention and decreased sensation. Traditional removal methods were ineffective due to severe penile swelling and the nut's thickness. A dental diamond drill handpiece was employed to carefully cut the nut without injuring the penile skin, aided by continuous water irrigation to prevent thermal damage. The procedure lasted approximately 45 minutes, resulting in successful removal with no subsequent complications.
The second and third cases further demonstrate the application of the dental drill handpiece in managing similar emergencies involving different metallic objects. Each case highlights the challenges posed by the objects' size, material, and the degree of penile swelling, as well as the importance of innovative techniques and interdisciplinary collaboration.
The video also reviews the literature on penile strangulation, discussing grading systems, treatment options, and potential complications. These cases underscore the critical need for prompt intervention and creative problem-solving in urological emergencies to preserve penile function and prevent severe outcomes.
This video serves as an educational tool for urologists and emergency physicians, demonstrating the effective use of a dental drill handpiece in managing penile strangulation caused by metallic objects. It emphasizes the importance of surgical technique, interdisciplinary collaboration, and post-operative care to achieve optimal outcomes in treating this rare but serious condition.
