Estrangulación de la raíz del pene. Presentación de caso / Strangulation of radix penis. A case report
Abstract
La estrangulación del pene requiere una actuación urgente para evitar lesiones mayores. Se presenta un caso clínico en el cuerpo de guardia de urología con dolor, edema distal y la pérdida de la sensibilidad del pene al cual se le diagnosticó estrangulación de la raíz del pene por un cuerpo extraño grado II, en el Hospital General Docente "Abel Santamaría Cuadrado" de Pinar del Río. Se realizaron diversas maniobras con el instrumental disponible con resultados insatisfactorios, y empleó el instrumental ortopédico para la extracción del cuerpo extraño, por lo que se hizo necesaria la interconsulta con los especialistas de ortopedia en cuanto al instrumental a utilizar, para garantizar un resultado adecuado sin graves daños para el paciente. Se utilizó anestesia local proximal, previa al proceder. Posteriormente, se realiza la extracción del cuerpo extraño de forma satisfactoria. Se realizó una revisión de la literatura donde se recogen diferentes objetos, sin mencionar el objeto que se presentó en el caso, e intentó simplificar las distintas técnicas para su resolución.
Palabras clave: ENFERMEDADES DEL PENE, UROLOGÍA, ORTOPEDIA/métodos.
ABSTRACT
The strangulation of the radix penis requires urgent proceedings to avoid major lesions. A clinical case with bad pain, distal edema and loss of penis feeling, with the early diagnosis of strangulation of the radix penis due to a foreign body of degree-II was presented in the Emergency room of Urology at "Abel Santamaria Cuadrado" University Hospital, Pinar del Rio. Several maneuvers with the available instruments were performed without obtaining satisfactory results where also orthopedic instruments were used to remove the foreign body. A secondary referral to orthopedics was required to use the adequate instruments to remove the foreign body, in order to provide good results without severe damages to the patient as well. Local proximal anesthesia was used before proceedings. Subsequently, the removal of the foreign body was satisfactory. A medical literature review was carried, where the object of the case was not mentioned, trying to simplify the different techniques to its resolution.
Key words: PENILE DISEASES, UROLOGY, ORTHOPEDICS/methods.
Downloads
References
1. Alonso Gracia N., Bielsa Gali O., Arango Toro O, León Morales E. de, Cañís Sánchez D., Gelabert Mas A. Manejo de la incarceración del pene y escroto por objeto metálico. Actas Urol Esp [revista en la Internet]. 2003 Sep [citado 2010 octubre 23]; 27(8): 633-636. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210-48062003000800009&lng=es.
2. Galisteo Moya R, Nogueras Ocaña M, Palao Yago F, Pareja Vilches M, López-Carmona Pintado F, Zuluaga Gómez A. Estrangulación de la base peneana por aros metálicos. Actas Urol Esp [revista en internet]. 2002[citado septiembre 2010]; 26 (9): 708-710. Disponible en: http://www.actasurologicas.info/v26/n09/2609NC05.htm
3. May M, Gunia S, Helke Ch, Kheyri R, Hoschke B. Penile entrapment in a plastic botle - a case for using an oscillating splint saw. International Urology and Nephrology. 2006 38:93_95. Disponible en: http://www.springerlink.com/content/d50490g2u50hv247/fulltext.pdf
4. E. Y. Giiltekin EY, Ozdamar AS, et al. Penile strangulation injuries. Pediatr Surg Int [revista en internet]. 1996 [citado septiembre 2010]; 11:279-280. Disponible en: http://www.springerlink.com/content/gj30612482676313/fulltext.pdf
5. Sinha BB. Penile incarceration by a metallic object. British Journal of Surgery [revista en internet]. 6 dic 2005 [citado septiembre 2010]; 75: 33. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/bjs.1800750112/abstract
6. Huang JKC, Holt D, Philp T. Penile constriction by foreing bodies: the use of a dental drill. Br J Urol[revista en internet]. 1997[citado septiembre 2010]; 79: 801. Disponible en: http://smj.sma.org.sg/5002/5002cr1.pdf
7. Snoy FJ et al. Management of penile incarceration. Urology 1984; 24: 18.
8. Detweiler MB, Perkins D. Penile incarceration: a wrapping technique. J Emerg Med 2001; 20: 159- 161
9. Mooreville M, Meller M. Penile incarceration with barbell retaining ring. J Urol 2001; 24: 262- 264
10. Alonso Fernández D, Rodríguez Toves LA, Amo García JA, Santos Largo J, De Castro Olmedo CJ, Camacho Parejo JJ, Martínez-Sagarra Oceja JM. Incarceración peneana por anillos metálicos. Actas Urol Esp [revista en internet]. 2000 [citado septiembre 2010]; 24 (3): 262-264. Disponible en: http://www.actasurologicas.info/v24/n03/PDF/2403NC03.pdf
11. Lopes RI, Lopes SI, Lopes RN. Chronic penile strangulation. Int. braz j urol. [serial on the Internet]. 2003 Aug [cited 2010 sept. 23] ; 29(4): 327-329. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S167755382003000400007&lng=en.
12. Baruah SJ, Bagchi PK, Barua SK, Deka PM. An innovative surgical technique for treating penile incarceration injury caused by heavy metallic ring. Indian J Urol [serial online] 2009 [cited 2010 Nov 23];25(2):267-8. Available from: http://www.indianjurol.com/text.asp?2009/25/2/267/52942
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
