Case study: emergent penis ring removal

  1. 15
    51 year old male with a very large metal cock ring that was purchased a few sizes too small. He put it on and had a solid erection for 4+ hours PTA. No other medical history.

    This is what we did:

    1: Ice packs
    2: Ice bath for penis and testicles
    3: Copious surgi-gel and digital manipulation
    4: IV neosynephrine, 10mg in 500cc NS wide open, did not affect BP more than 10 points systolic but had little effect on diminishing his erection.
    5: Patient urinated x3, minimal size reduction
    6: IVP toradol, morphine, etomidate, versed and brought out the ring cutter, then the ring cutter broke.... the ring was surgical stainless steel 8mm thick
    7: A whole lot more surgi-gel and I sent a nurse home to grab his Dremel.
    8: Used the Dremel on and off for 1.5 hours, allowing time to allow the metal ring to cool (iced surgi-gel helped here) We used tongue depressors as a barrier/guard in between the penis and ring.
    9: Ring pried open with some monstrosity tool from the OR.
    10: Patient took a cold shower for 30 minutes, then ended up going home with a urology consult, percocet and a lesson well learned....

    He had the ring on and a solid erection for approximately 7 hours. He was a retired firefighter/EMT and was cracking jokes left and right. It was a very sensitive, delicate, dangerous situation.

    What did you just learn???????? Buy a rubber ring, and invest in a Dremel for your ED!
    ambz13, NurseOnAMotorcycle, edmia, and 12 others like this.
  2. 3,286 Visits
    Find Similar Topics
  3. 18 Comments so far...

  4. 4
    just get a script for Viagra...sigh.
    poppycat, sharpeimom, psu_213, and 1 other like this.
  5. 2
    Add this one to things we never thought we would see/hear about.....
    poppycat and psu_213 like this.
  6. 3
    Nice case study, thanks! Did you try aspirating blood from the penis? Was urology unable to come to the ER?
    sharpeimom, psu_213, and Esme12 like this.
  7. 3
    Wow, very interesting. This case has my husband shaking in his boots.
    amoLucia, poppycat, and sharpeimom like this.
  8. 1
    This is bringing me back to a conversation I had with the guys that run a well respected piercing shop about having in-services for nurses and docs to learn how to remove body jewelry appropriately. Now the hamster in my mind has awaken (at 1am nonetheless) on possibly setting something up at my nursing school.
    B.C.nurse likes this.
  9. 0
    Biggest lesson for men: Don't put a ring on your penis, FFS!
  10. 6
    A guy in our ED years ago had FOURTEEN metal key rings on his. We were forced to turf him to a tertiary care 20 min away, but not until AFTER our maintenance guy passed out after trying to use the ring cutter.
    nrsang97, poppycat, Here.I.Stand, and 3 others like this.
  11. 0
    Wait...I'm confused. Was this like a Prince-Albert style piercing with too small of a ring, or was it just a thick metal ring placed around the circumference while flaccid that could not be removed due to the erection?
  12. 0
    Quote from mamagui
    Wait...I'm confused. Was this like a Prince-Albert style piercing with too small of a ring, or was it just a thick metal ring placed around the circumference while flaccid that could not be removed due to the erection?


    Unfortunately, he didn't get the memo about the rubber ones though...

    At least it wasn't a Cunningham Clamp malfunction


Top