Penile Thread Tourniquet Syndrome: A Case Report and Review of Age-Related Variability: A Case Report

Sadaqat Ullah Rehmat; Jawad khan; Attia Mahmood; Asifa Irfan; Aisha Habib

doi:10.69885/pju.v4i1.130

Authors

Sadaqat Ullah Rehmat Assistant Prof Department of Urology Ayub Teaching Hospital Abbottabad https://orcid.org/0009-0008-6607-7576
Jawad khan Assistant Prof Department of Urology Ayub Teaching Hospital Abbottabad https://orcid.org/0000-0002-0852-4840
Attia Mahmood Department of Urology Ayub Teaching Hospital Abbottabad https://orcid.org/0000-0002-9913-2550
Asifa Irfan Department of Urology Ayub Teaching Hospital Abbottabad https://orcid.org/0000-0003-2379-4483
Aisha Habib Department of Urology Ayub Teaching Hospital Abbottabad https://orcid.org/0000-0003-2559-1022

DOI:

https://doi.org/10.69885/pju.v4i1.130

Keywords:

nile Hair Tournique injury (PHTI), Urethrocutaneous fistula (UCF), Balanoprepucial sulcus (BPS), Penile Strangulation Injury (PSI).

Abstract

ABSTRACT

Penile Thread Tourniquet Syndrome (PTTS), a rare variant of Penile Tourniquet Syndrome (PTS), is a paediatric urological emergency characterized by external constriction of penis by hair or thread, often leading to necrosis, ischemia, and oedema. A urethro-cutaneous fistula, urethral transection, and penile amputation are possible outcomes of this disorder if left untreated. Though commonly reported in infants, this case details a rare occurrence in a 10-year-old male. A circumferential thread at the penoscrotal junction caused localized infection and oedema without urethral damage. Surgical intervention and conservative management resulted in a favourable outcome. This case emphasizes the need for clinical vigilance in a atypical age groups and rare causes of penile injury

Keywords: Penile thread torniquet syndrome (PTTS), Penile torniquet syndrome (PTS), Penile injury, Thread strangulation