A 24-year-old Vietnamese man had to pierce a 2 cm thick steel nut from his “strangled” penis.

A 24-year-old Vietnamese man was able to cut a steel nut by drilling a penis while enjoying it.

An unidentified patient went to a hospital in Ho Chi Minh City and told doctors the lock was stuck there for 10 hours.

He admitted that he pushed a 2 cm (0.7 inch) thick hexagonal nut around the shaft to improve his masturbation experience.

The uncircumcised patient complained of numbness and inability to urinate.

Her penis was so swollen that doctors were unable to remove the temporary pleasure ring by hand and had to use a dental drill to cut it off.

They removed the penis ring after a 45-minute procedure with a hand-held electric dental drill (pictured) - they are often used to finally make holes for fillings and remove plaque, but also to remove rings that are stuck in the fingers.

Doctors said a steel nut 2.7 cm wide (1 inch) on the inside and 4.1 cm (1.6 inches) on the outside (left) penetrated the penis tightly, making it difficult to urinate and reducing the sensation of the genitals. . Finally, they removed the penis ring after a 45-minute procedure using a manual electric dental drill (right) – which is commonly used to make holes for fillings and remove plaque, but is also used to remove rings that get stuck in the fingers.

In The Journal of Medical Case Reports, medics described the incident and said the man was taken to the emergency room of Cho Rai Hospital.

The metal nut was stuck 5 cm (1.9 inches) below his penis, “holding the core of his penis firmly.”

Doctors noted that the patient had difficulty urinating and decreased sensitivity of the genitals.

The man’s circumcision was so swollen during masturbation that he could not return to his normal position, and the tip of his penis was “suffocated.”

The patient was given an intravenous drip, painkillers, antibiotics, and sedatives.


Penile suffocation is a rare but often dangerous medical emergency that occurs when an object or part of the body blocks blood flow to the penis.

In the worst cases, insufficient blood flow can lead to gangrene and tissue death – penile necrosis.

Physicians have developed an assessment system to measure the severity of suffocation:

1st grade: Tumor of the distal penis.

2nd grade: Skin injury and compression of the body, but no evidence of urethral injury. Distal swelling of the penis, decreased penile sensation.

3rd grade: Skin and urethral lesions, but no urethral fistula. Loss of sensation in the distal penis.

4th grade: Complete separation of the bony body leads to urethral fistula and compression of the cavernous body, with loss of distal sensation of the penis.

5th grade: gangrene, necrosis, or complete amputation of the distal penis.

Due to the thickness of the device and the swelling of the penis, doctors were unable to remove it by hand with lubricant.

And they said it was “impossible” to cut the nut with bolt cutters because there was no gap between the suffocating object and the skin of the man’s penis.

After consulting with colleagues at the hospital’s dental clinic, the doctors decided to use a hand-held electric dental drill – they are often used to make holes for fillings and remove plaque, but are also used to remove rings stuck in the fingers.

They finally removed the penis ring after a 45-minute procedure.

Metal cutting generates heat as a by-product, so water had to be sprayed to cool the penis during the procedure.

The medics also inserted a thin plastic tooth between the device and the penis.

After spending the night in the hospital, he was prescribed antibiotics and painkillers.

Doctors said a follow-up visit a month later showed that her penis was normal and that she was urinating and standing up.

Genital suffocation was first recorded in the medical literature in 1755 and has since been rarely documented, with less than 100 official reports.

The rings of the penis reduce the flow of blood through the veins, which leads to swelling of the penis and testicles.

According to doctors, young men often use devices as part of masturbation to increase sexual satisfaction, as well as “sexual interest.”

According to their report, older men respond to erectile dysfunction and use suffocation facilities to increase their performance.

Doctors say that sometimes people with mental illness have sex.

Heavy metal rings and cones, tubes, plastic bottle necks and plumbing cuffs, including genital suffocation, were reportedly used.

They warned of the need for “emergency” medical care when genital rings get stuck, as this can lead to blood clots between the organs and the heart.

When the penis is suffocated for more than 30 minutes, sepsis, gangrene – when the body tissue darkens and dies – and urethrocutaneous fistula, which is an unnecessary hole in the groin, can cause urination.

In the most severe cases, genital amputation is required.

In each case, genital suffocation is administered individually depending on the patient’s condition. They noted that most patients delayed treatment due to discomfort.

Doctors say thin non-metallic rings on the penis can often be “easily removed,” but metal items are “difficult to remove safely” because standard surgical equipment may not be able to “cut” them.

Physicians who suffer from genital suffocation need to be “creative and resourceful” because not all treatments are effective for all patients, and saws and tweezers have already been used, doctors say.

The team noted that the use of a dental drill is a “rare” method of removing the suffocating structures of the penis, but that it is “the best option” because it “cuts very smoothly in a short period of time without significant physical effort.”


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