Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 14, 2022; 10(2): 747-752
Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.747
Using a fretsaw in treating chronic penial incarceration: A case report
Yi Zhao, Xiao-Qiang Xue, Hou-Feng Huang, Yi Xie, Zhi-Gang Ji, Xin-Rong Fan
Yi Zhao, Xiao-Qiang Xue, Hou-Feng Huang, Yi Xie, Zhi-Gang Ji, Xin-Rong Fan, Department of Urology, Peking Union Medical College Hospital, Beijing 100730, China
Author contributions: Zhao Y and Xue XQ are co-first authors who contributed equally to this work, reviewed the literature, acquired the data, and contributed to manuscript drafting; Huang HF, Ji ZG, and Xie Y contributed to manuscript drafting; Fan XR managed the patient, performed the operation, and was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xin-Rong Fan, MD, Associate Professor, Surgeon, Department of Urology, Peking Union Medical College Hospital, No. 1 Shuaifuyuan Road, Dongdan, Dongcheng District, Beijing 100730, China. fxr_pumch@163.com
Received: August 21, 2021
Peer-review started: August 21, 2021
First decision: November 1, 2021
Revised: November 4, 2021
Accepted: December 7, 2021
Article in press: December 7, 2021
Published online: January 14, 2022
Core Tip

Core Tip: Penial incarceration (PI) is a rare clinical situation. We report a case of chronic PI, where a multidisciplinary task force was established for surgical strategy planning. We adopted the orthopedic fretsaw to split the metallic hoop. The patient reported no complications one year after the surgery. As the treatment of PI has not been summarized yet, we also performed a mini review of the literature regarding the treating approaches under certain circumstances. This case was unique because it featured the longest reported strangulating time, and it offered some first-hand experience on treating chronic penial incarceration.