Case Report Hair Coil Penile Tourniquet Syndrome in an Unusual Age Kursad Zengin, 1 Mustafa Yasar Ozdamar, 2 Sebahattin Albayrak, 1 Serhat Tanik, 1 Muhittin Atar, 1 Hasan Bakirtas, 1 Muhammed Abdurrahim Imamoglu, 1 and Mesut Gurdal 1 1 Department of Urology, Faculty of Medicine, Bozok Universitesi Uygulama ve Arastirma Hastanesi, Uroloji AD, 66100 Yozgat, Turkey 2 Department of Pediatric Surgery, Faculty of Medicine, Bozok Universitesi Uygulama ve Arastirma Hastanesi, Uroloji AD, 66100 Yozgat, Turkey Correspondence should be addressed to Kursad Zengin; kursadzengin@gmail.com Received 29 October 2014; Accepted 1 February 2015 Academic Editor: Ferdinando Fusco Copyright © 2015 Kursad Zengin et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Penile tourniquet syndrome (PTS), a rare urologic emergency, may lead to undesirable results including necrosis and amputation of penis, if not diagnosed and treated appropriately. Sometimes these injuries may be accepted as a forensic case. Miscellaneous objects used for strangulation can be metallic or nonmetallic. Of all ages, the most vulnerable period is infancy. Telogen efuvium is the most common cause of PTS in infants who are 0–6 years old. In the literature, telogen efuvium as a reason of PTS was not found except for this age group. Terefore, we aimed to present a boy who is 8 years old diagnosed as PTS because of his mother’s hair coil. 1. Introduction Penile tourniquet syndrome (PTS) is usually caused by a hair coil wrapped around the sulcus coronarius of penis. Te complications range from simple edema to necrosis. When we reviewed the literature, between the years of 1967 and 2014, it was seen that the cause of penile strangulation in babies was mother’s hair, with its specifc nomenclature telogen efuvium. It was signifcantly encountered in circumcised boys. Urethrocutaneous fstula, complete urethral transec- tion, penile gangrene, or penile amputations were presented among the reported complications in the literature [1, 2]. Hair coil penile tourniquet syndrome is usually seen in boys between 0 and 6 years old [1]. Herein, we aimed to report an experience with the diagnosis and treatment of an 8-year- old boy with a complicated hair coil penile strangulation. 2. Case Presentation Te patient’s mother recognized an increasing swelling in glans penis and sulcus coronarius for 24 hours in her 8- year-old boy. Tey were admitted to urology clinics of a medical center. Tey were prescribed local antibiotics. Afer 24 hours of this treatment, the swelling increased, and they were admitted to our outpatient clinic. In the physical examination, a hair strand in the sulcus coronarius which was coiled around penile shaf and another island-like region on the ventral side of glans penis was found (Figure 1). It was also noticed that the patient had an obvious glob vesical. Te patient also complained about voiding difculty. Under general anesthesia the hair was cut and excised. Debridement around sulcus was performed and a healthy urethra was noticed. Peroral antibiotics and anti-infam- matory medication were initiated afer the operation. Te patient can urinate without any instrumentation postoper- atively. Patient was discharged on the postoperative second day. His parents were advised once a week for follow-up visit. On the postoperative third week, complete recovery was observed (Figure 2). 3. Discussion PTS commonly occurs in the appendicular organs of infants like genitalia, toes, and fngers. Te most common cause is hair coil injury with 79% of incidences [1, 3]. Although PTS is mostly encountered in infants of mothers with postpartum Hindawi Publishing Corporation Case Reports in Urology Volume 2015, Article ID 642547, 2 pages http://dx.doi.org/10.1155/2015/642547