Grade I and Grade II Penile Strangulation From a Plastic Bottleneck

In this case report, we present two clinical cases of penile strangulation caused by a bottleneck at the base of the penis. In the first case, corporal aspiration was used to decrease the blood that is trapped in the corpora due to the constriction. A rotating saw was used to incise the bottleneck in a full-thickness manner. The plastic bottleneck was successfully incised and extricated with the rotating saw while the penile shaft was protected. This technique is novel and unique, as there are no prior instances in the literature where both corporal aspiration and a rotating saw were used simultaneously. In the second case, penile strangulation was resolved with a ring cutter, which allowed the bottleneck to be extricated without causing further laceration. Both the combined use of corporal aspiration and a rotating saw, as well as the utilization of a ring cutter, were efficacious approaches that led to immediate improvement in the patients.