The Gigli saw, a useful tool for cutting a metal ring causing penile strangulation

Christelle Destinval; Nicolas Billaud; Eliott Leclerc; Svetlana Castanier; Pierre Journeau; Jean-Louis Lemelle

doi:10.1016/j.jpurol.2023.08.012

The Gigli saw, a useful tool for cutting a metal ring causing penile strangulation

J Pediatr Urol. 2023 Dec;19(6):818-819. doi: 10.1016/j.jpurol.2023.08.012. Epub 2023 Aug 16.

Authors

Christelle Destinval¹, Nicolas Billaud², Eliott Leclerc³, Svetlana Castanier⁴, Pierre Journeau⁵, Jean-Louis Lemelle⁶

Affiliations

¹ Pediatric Surgery Department, Nancy Regional University Hospital, 8 rue du Morvan, 54500, Vandoeuvre-Lès-Nancy, France; Paediatric Department, Regional Hospital Centre Metz-Thionville, 1 Allée du Château, 57050, Metz, France. Electronic address: [email protected].
² Paediatric Department, Regional Hospital Centre Metz-Thionville, 1 Allée du Château, 57050, Metz, France. Electronic address: [email protected].
³ Pediatric Surgery Department, Nancy Regional University Hospital, 8 rue du Morvan, 54500, Vandoeuvre-Lès-Nancy, France. Electronic address: [email protected].
⁴ Pediatric Surgery Department, Nancy Regional University Hospital, 8 rue du Morvan, 54500, Vandoeuvre-Lès-Nancy, France. Electronic address: [email protected].
⁵ Pediatric Surgery Department, Nancy Regional University Hospital, 8 rue du Morvan, 54500, Vandoeuvre-Lès-Nancy, France. Electronic address: [email protected].
⁶ Pediatric Surgery Department, Nancy Regional University Hospital, 8 rue du Morvan, 54500, Vandoeuvre-Lès-Nancy, France; Paediatric Department, Regional Hospital Centre Metz-Thionville, 1 Allée du Château, 57050, Metz, France. Electronic address: [email protected].

PMID: 37690908
DOI: 10.1016/j.jpurol.2023.08.012

Abstract

Penile strangulation is a rare pediatric urology emergency. A 13-year-old boy with no psychiatric history was referred to the university hospital 2 h after a metallic ring was self-placed over his penis. Under general anesthesia, a Gigli saw cut the cockring in two places. The patient was discharged home on postoperative day 1. He neither attended a consultation at the one-month follow-up nor saw a psychiatrist. Thirteen similar cases have been reported in children since 1975. We were the first team to use a Gigli saw in a child in our department.

Keywords: Children; Gigli saw; Metallic ring; Penile strangulation; Review.

Publication types

Case Reports

MeSH terms

Adolescent
Anesthesia, General*
Child
Humans
Male
Penis* / surgery