We read the excellent review and recommendations for extrication of penile constriction device by Silbcrstcin et al. [1]. They resolved the difficult situation with the use of electric cutting device. We would like to share our experiences in removing penile constriction device successfully with penile cor.pora aspiration.In Taiwan, a kind of Chinese kung fu called Nine-Nine Chi-Gung is believed to have good therapeutic effects in enhancing the sexual function in men after long-term practice in certain population. A steel ring will be placed on the penile root during practice with heavy objects of weight ranging from 500 grams to more than 10 kilograms which hang on the fishhook tied to the steel ring (Figure 1A). The case we encountered is a middle-aged man. He practiced Nine-Nine Chi-Gung with a steel ring tied at the penile root since 11:00 o'clock in the morning. As a result of progressive edema of the distal penis and glans, he could not remove the ring 1 hour later. He visited our emergency department immediately and we were consulted for removing the constriction device. Initially, nonelectric cutting was tried in vain because the ring was 1 cm in thickness (Figure 1A).
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