From Sexual Aid to Urological Emergency: Raising Awareness of Penile Ring-Related Injuries—A Case Report

The use of penile constriction rings, often marketed as sexual enhancement devices, has become increasingly visible in recent years. Although the true prevalence remains unclear, urologists are encountering occasional but concerning cases of penile strangulation resulting from improper or prolonged application. Such strangulation injuries, while relatively uncommon, can cause vascular compromise, urethral damage, and even tissue necrosis if not promptly managed. We report a case of a middle-aged man who presented with penile strangulation following the use of a metallic constriction ring. Conservative removal attempts were unsuccessful, necessitating mechanical extraction under multidisciplinary care. The patient recovered fully, with restoration of penile function and complete symptom resolution. This case highlights the emerging clinical and psychosocial challenges associated with sexual enhancement device use and emphasizes the importance of early recognition, multidisciplinary management, and patient education to prevent irreversible complications.