Penile and Testicular Incarceration with a Metal Foreign Body: Full Recovery of Erectile Function after 4 Days of Entrapment.

Penile incarceration with a foreign body is a rare urological emergency necessitating prompt intervention. We present a 59-year-old patient who entrapped his penis and right testicle with a metal thread reducer for sexual arousal four days prior to admission to the Emergency Room. Ultrasound revealed a significantly reduced Color Doppler signal in the right testicle and a completely absent signal in the penile artery. After admission, the metal reducer was removed using a hacksaw under analgosedation. Magnetic resonance imaging showed penile ischemic changes. The patient experienced a reduction in penile swelling, and parts of the skin highly suspected of necrosis recovered fully with preserved sensation. Despite penile ischemia on magnetic resonance imaging, the patient had a full recovery, obtaining normal erections. He was discharged six days after admission, presenting with a normal International Index of Erectile Function score on the follow-up exam.