Penile incarceration with metallic objects:two cases with review of literature

Incarceration of the penis by foreign bodies has been reported sporadically [1]. The application of these devices is generally intentional while being rarely accidental and usually done for enhancement of sexual response [2, 3], self treatment of erectile dysfunction [4, 5] or secondary to psychiatric disturbances [6].The largest series was published by Dakin from U.S.A in 1755 [1]. Men, mostly between the ages of 15 – 55 years, were involved in these perverted acts [1]. The patient may present simply with either oedema of the penile skin or gangrene of the penis depending on the time lapse. Early intervention therefore, is key to successful management with minimal or no morbidity.

We report two cases of patients with sex anxiety, who presented with incarceration of the penis by metallic objects.

The Sri Lanka Journal of Surgery 2014; 32(4): 32-35