Penile strangulation by polyvinyl chloride plastic pipe ring: Case report of sexual perversion

Penile constriction rings are either used for erotic or autoerotic purposes or to increase sexual performance. Various objects, both metallic and nonmetallic, can be used as constricting devices. Potentially, they can become irremovable, resulting in reduced blood flow, leading to edema and, sometimes, gangrene. We report an case of penile strangulation with a polyvinyl chloride (PVC) plastic pipe ring presenting as an urological emergency. It was removed with the help of a dental drill after failed attempts of the use of orthopedic instruments. Management of such cases can be challenging and removal of such objects requires the help of various orthopedic and dental instruments.