DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.034

Pages: 728-731

Penile strangulation injury constitutes a rare urologic emergency that can result in devastating consequences when diagnosis and treatment are delayed. We present a case study of a 42-year-old male patient who developed extensive penile necrosis following three weeks of constriction by a metallic ring placed for the purpose of sexual enhancement. The patient's delayed presentation, attributable to feelings of embarrassment, resulted in severe ischemic injury, necessitating emergency ring removal, broad-spectrum antibiotics, serial surgical debridement, and subsequent reconstructive surgery. This case underscores the pivotal role of prompt recognition and intervention in penile strangulation injuries, emphasizing the potential for favorable functional and aesthetic outcomes even in cases of severe tissue damage when managed with a comprehensive multidisciplinary approach.