Abstract
Penile injuries from self-inflicted strangulation or garroting are uncommon. Children are more likely than young adults or elderly patients to sustain such injuries. Numerous foreign things, including hair, thread, rubber bands, metallic rings, nuts, and vacuum erection devices, have been reported to be used for garroting in the literature search. Determining the precise cause of such anomalous behavior can be difficult. If there is an underlying mental disorder, the situation becomes even more complex. While such mishaps in the elderly population may be for the relief of lower urinary tract symptoms such as frequency or incontinence, in young persons, they may be for sexual stimulation and erection augmentation. These devices tightly constrict the penis root, obstructing the venous return and causing corpora congestion that leads to ischemia, gangrene, or necrosis. We describe our observations of three incidents of penile garroting and its aftereffects. Here, we also talk about the several gadgets that our patients use and the methods that we employ to remove the constriction.