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http://scihub22266oqcxt.onion/ C4549816!4549816 !26339086     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26339086 &cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26339086 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Ghana+Med+J 2015 ; 49 (1 ): 57-9 Nephropedia Template TP {{tp|p=26339086 |t=2015. Penile Strangulation by self-Placement of Metallic Nut |pdf=|usr=}}{{26339086 }} gab.com Text Penile Strangulation by self-Placement of Metallic Nut JO: Ghana Med J http://www.kidney.de/pget.php?&tw=1&pmid=26339086 #FOAvip We report a case of a 37-year-old male who presented with a 12-hour history of a strangulating 2cm wide by 0.8 cm thick metallic nut on the penile shaft at the peno-scrotal junction. Unlike instances where these metallic objects are placed to enhance sexual stimulation this nut was rather placed to prevent intercourse. A Bosch electric circular grinder was successfully used for removal but a thermal burn to the penile tissues was sustained in the process as the hardness of the nut required a high energy to cut and its thickness did not allow for effective cooling during the process of removal. This resulted in a circumferential denudation of penile skin, a urethro-cutaneous fistula at the peno-scrotal junction and a mid-bulbar urethral stricture. The penile wound was subsequently covered with a split skin graft with a delayed closure of the urethrocutaneous fistula and a buccal mucosa patch urethroplasty for the mid bulbar stricture. Despite the degree of thermal burns sustained the patient has maintained good erectile function with grade four rigidity. The tunica albuginea and the underlying corpora cavernosa have shown a significant degree of resilience to thermal burns compared to the corpora spongiosum where the thermal burns led to a urethrocutaneous fistula. Twit Text FOAVip Penile Strangulation by self-Placement of Metallic Nut ????Ghana Med J http://www.kidney.de/pget.php?&tw=1&pmid=26339086 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26339086 #FOAvip English Wikipedia <ref>{{Cite pmid|26339086 }}</ref> Penile Strangulation by self-Placement of Metallic Nut #MMPMID26339086 Kyei MY ; Asante EK ; Mensah JE ; Klufio GO ; Paintsil A ; Gepi-Atee S ; Morton B ; Ampadu K ; Toboh B Ghana Med J 2015[Mar]; 49 (1 ): 57-9 PMID26339086 show ga We report a case of a 37-year-old male who presented with a 12-hour history of a strangulating 2cm wide by 0.8 cm thick metallic nut on the penile shaft at the peno-scrotal junction. Unlike instances where these metallic objects are placed to enhance sexual stimulation this nut was rather placed to prevent intercourse. A Bosch electric circular grinder was successfully used for removal but a thermal burn to the penile tissues was sustained in the process as the hardness of the nut required a high energy to cut and its thickness did not allow for effective cooling during the process of removal. This resulted in a circumferential denudation of penile skin, a urethro-cutaneous fistula at the peno-scrotal junction and a mid-bulbar urethral stricture. The penile wound was subsequently covered with a split skin graft with a delayed closure of the urethrocutaneous fistula and a buccal mucosa patch urethroplasty for the mid bulbar stricture. Despite the degree of thermal burns sustained the patient has maintained good erectile function with grade four rigidity. The tunica albuginea and the underlying corpora cavernosa have shown a significant degree of resilience to thermal burns compared to the corpora spongiosum where the thermal burns led to a urethrocutaneous fistula. |Adult [MESH] |Construction Materials/*adverse effects [MESH] |Fistula/*etiology [MESH] |Genital Diseases, Male/*etiology [MESH] |Humans [MESH] |Male [MESH] |Metals [MESH] |Mouth Mucosa/surgery [MESH] |Penis/*injuries/surgery [MESH] |Plastic Surgery Procedures/methods [MESH] |Scrotum/injuries/surgery [MESH] |Self-Injurious Behavior/*complications [MESH] |Treatment Outcome [MESH]Penile Strangulation by self-Placement of Metallic Nut (epmc).pdf DeepDyve Pubget Overpricing