Penile strangulation by foreign bodies is a true urological emergency causing varied outcomes based on the degree and duration of the strangulation. Irrespective of the presenting age and cause, disruption of blood flow to the penile tissues is the consequence leading to outcomes ranging from simple penile oedema to total penile gangrene. We hereby report five cases of adult penile strangulation, all of them presenting in the emergency department with variable intervals of strangulation after foreign body application. Three patients were managed by cutting the metallic rings by a motorized metal cutting device borrowed from the hospital electrical maintenance department as a desperate measure while one was managed with the thread unwinding method. The last case being plastic bottle neck strangulation was managed with disruption by heavy scissors.

Keywords : penile, strangulation, metallic ring, bottle neck, silk winding, foreign body