Journal of Advanced Intensive and Critical Care Medicine

Abstract

Penile strangulation is a rare but serious urological emergency that can lead to irreversible ischemia and tissue necrosis. It often occurs in the context of psychiatric disorders or autoerotic practices. We report the case of a 26-year-old incarcerated man, followed for chronic psychosis, who presented with penile strangulation by a metallic ring. The evolution was marked by severe necrosis requiring total penile amputation and bilateral orchidectomy. This case highlights the severity of this condition and the importance of urgent multidisciplinary management.