IJCRI – International Journal of Case Reports and Images, Vol. 4 No. 9, September 2013. ISSN – [0976-3198] IJCRI 2013;4(9):511–514. www.ijcasereportsandimages.com Olajide et al. 511 CASE REPORT OPEN ACCESS Novel surgical extrication of penile constricting metal ring: A case report Abimbola Olaniyi Olajide, Amogu Kalu Eziyi, Folakemi Olajumoke Olajide, Babatunde Kazeem Beyioku AbstrAct Introduction: Penile entrapment with strangulation is a unique clinical entity which has remained a challenge because of lack of standard treatment modality. treatment of reported cases has been based on an individual physicians approach depending upon the circumstances and facilities available. some of these are cumbersome and some involve use of non-medical facilities. We report a novel simple surgical approach used in the management of a case of penile entrapment. case report: A 16-year-old male adolescent presented with four days history of entrapment of his penile shaft in a hard steel metal ring. there was associated swelling of penile shaft distal to the ring with progressive diminution of urine stream. All initial attempts for removing mettalic ring were abortive till surgical degloving of penile shaft was done in the operating room with immediate reduction of swelling and removal of constricting ring intact. there was no postoperative complication and outcome was satisfactory. conclusion: constricting device on a penile shaft can be removed by a simple surgical technique Abimbola Olaniyi Olajide 1 , Amogu Kalu Eziyi 1 , Folakemi Olajumoke Olajide 2 , Babatunde Kazeem Beyioku 3 Affiliations: 1 Senior Lecturer, Department of Surgery, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria; 2 Lecturer 1, Department of Community Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria; 3 Resident Doctor, Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria. Corresponding Author: Dr. Abimbola O. Olajide, Department of Surgery, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria; Ph: +2348037251893; E-mail: lajidea@yahoo.com Received: 26 December 2012 Accepted: 15 May 2013 Published: 01 September 2013 avoiding some of the cumbersome modalities earlier reported. Keywords: Entrapment, strangulation, Penile ********* Olajide AO, Eziyi AK, Olajide FO, Beyioku BK. Novel surgical extrication of penile constricting metal ring: A case report. International Journal of Case Reports and Images 2013;4(9):511–514. ********* doi:10.5348/ijcri-2013-09-368-CR-12 IntroductIon Penile entrapment with strangulation is a rare clinical entity requiring urgent decompression [1]. Entrapping object is usually applied when penis is flaccid or semi- erect. It becomes impossible to remove when penis becomes erect leading to swelling of the penis distal to the object [2]. The management of this condition poses unique challenges to the treating physician through variable presentation as well as lack of specific treatment options. No standard treatment modality is described in literature; every case needs an individual approach depending upon the circumstances and facilities available [3]. Therefore, penile entrapment remains a challenge occasionally faced by urologists; it is tasking and requires ingenuity for successful treatment [4]. Methods described in literature include aspiration of corpora, use of saws, grinders, bolt cutters, and dental drills. Others include denudation of penile skin with postoperative skin grafting, amputation or use of myofascial flap for reconstruction of penis [3]. We report this case to illustrate a surgical technique used in the management of a penile entrapment with successful outcome.