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J Sex Med. 2012 Mar;9(3):937-40. doi: 10.1111/j.1743-6109.2011.02598.x. Epub 2012 Jan 16.

Novel extraction technique to remove a penile constriction device.

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Department of Urology, Monash Medical Centre, Southern Health, Melbourne, Australia.



Penile strangulation can be a challenging clinical situation and usually requires prompt treatment. The clinician should be aware of the various techniques to remove such devices.


The aim of this article was to describe a new noninvasive technique, the "pseudo-pulley" method, to remove a penile constriction device.


During an episode of medication-induced hypersexuality, a 63-year-old man presented to the emergency department with a cast iron locking nut of a vehicle towbar lodged at the base of the patient's penis.


The utilization of the "pseudo-pulley" method to remove the constriction device negated the need for more invasive measures. We outline a step-by-step description on this new technique. The patient's recovery was complete and uneventful.


The current case report describes a noninvasive technique for removing a penile constriction device that does not rely on specialized equipment and industrial drills that can cause iatrogenic injury.

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