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Man, 68, has to have part of his penis amputated after it turned gangrenous, due to using a sex aid 'for too long'
An American man had to have the head of his penis cut off after wearing an erection boosting sex ring for an entire day.
Medics, who treated the 68-year-old, were forced to peel away layers of dead tissue in the horrific case but found the tip couldn't be saved and had to be removed.
However, in an apparent world first of its kind, medic used part of the man's thigh to rebuild parts of his penis.
The unnamed patient told doctors from the University of California's department of urology that he had worn the ring, which boosts an erection by trapping blood in the genitals for about 24 hours.
Being unable to remove it from his engorged member by hand, he then resorted to using pliers to pry it off.
Medics, who treated the 68-year-old, were forced to peel away layers of dead tissue in the horrific case but found the tip couldn't be saved and had to be removed
In pictures too horrific to show fully medics were forced to peel away the gangrenous penile flesh which had been left by the sex aid
Some websites have thriving marketplace for metal penis rings from just £7.99. This example was taken from Etsy
But shockingly he only sought aid from medics a week later after experiencing problems urinating.
Documenting the surgery in the journal Urology Case Reports, medics said at the point of admission the man's penis was abnormally purple coloured with blistered skin in yellow patches.
The man, who was homeless, was initially discharged to a nursing facility after having a catheter inserted to help him urinate given his apparent lack of greater harm from his sexual escapade gone wrong.
However, two weeks later he returned after his entire penis had turned black and gangrenous.
This indicated the member had become necrotic, with the tissue itself having now died from having its blood supply cut off by the tight ring's extended attachment.
Medics gave the man a broad spectrum of antibiotics in a bid to stave off any further gangrene and, in pictures too horrific to show, began to cut away the dead penile flesh.
Using scalpels and surgical scissors medics painstakingly excised the dead tissue layer by layer, until they found living healthy tissue deep within closer to the core of the member.
However, they found the glans, the medical name for the head of the penis, couldn't be saved and had to be removed entirely. Medics then dressed the peeled penis to allow it to heal.
After a week-long recovery, the man underwent another examination and removal of dead tissue before medics turned their attention to penile reconstruction.
They harvested a 8 by 13 cm patch of skin from his right thigh which then grafted onto the peeled core of the patient's penis.
Medics reported the man remained stable after the surgery and a new catheter, inserted through his abdomen to help him urinate, as opposed to normally through his penis, was working correctly.
Discussing the case medics said examples of penile strangulation from sex rings was a rare but serious emergency with potentially severe consequences for a patient.
'Penile strangulation from a constrictive ring is a urologic emergency that warrants immediate removal to prevent vascular compromise and subsequent necrosis, as well as acute urinary retention,' they wrote.
'Management of these patients poses a clinical challenge given availability of tools available to the urologist at their respective facility to remove the constrictive device.'
Medics eventually replaced the dead penile tissue they had removed with a graft of skin they took from the patient's thigh
Medics have previously been forced to use hardware tools directly on men's genitals in an attempt free a patient's member from rings' vice-like grip
Medics say penis rings, when used safely, can help men suffering from erectile dysfunction alongside other treatments. However, they emphasise men should talk to their GP first, not only on safety grounds, but because impotency can also be a potential warning sign of serious health conditions like diabetes, heart disease, or prostate cancer
They added, that to their knowledge, their case represented the first time a patient suffering penile strangulation from a ring had been treated with a surgical skin graft from their thigh.
Medics also said the patient would be continued to be followed up to evaluate the long-term outcomes of this surgery.
British medics have long warned of the dangerous surrounding sex rings made of hard materials such as metal, and begged men not to use the,
Available for as little as £3 online, the devices constrict flesh around the penis — trapping blood in the genitals.
This can help men maintain erections for longer with some fans claiming the gadgets also make their penis bigger sand enhance sexual pleasure.
But they aren't without risks. They can get stuck — effectively strangling the penis by depriving it off lifegiving oxygenated blood.
Not only can this result from an embarrassing trip to A&E, it can also cause parts of the penis to die from a lack of oxygen if they are not treated quickly enough.
This can cause potentially irreversible damage in as little as 30 minutes.
In rare cases, men can need their member partly or wholly amputated and require extensive reconstructive surgery.
Doctors warn against the use of rings made from hard materials like metal specifically as, due to their lack of elasticity, they're more likely to get stuck.
In comparison, rings made of less robust material, like rubber, can be cut off easily in an emergency.
Medics have previously been forced to use drills directly on men's genitals in an attempt free a patient's member from the device's vice-like grip.
In one horrifying clip circulating online, medics had to resort to using an angle grinder and then bolt cutters to help a patient in such circumstances.
The man's dangerously engorged member appears to have escaped unscathed from the heavy-duty machinery used to free it.
An obvious but unavoidable risk from such heavy-duty removals is that the penis itself can become damaged during the procedure.
Online retailers sell dozens of toy rings, made of a variety of materials.
Stainless steel versions — sold in an array of different sizes — can go for as little as £3.29 and be up to 2 inches in diameter.
Ads brag that they are 'great for extending the duration of your erection' and 'help you last longer in bed'.
Others promise to enhance the pleasure of both men and their partners, by providing 'more intense orgasms' and 'stimulation'.
Sex shops also sell some versions which advise men to also slip their testicles through.
Experts warned this is particularly dangerous, however, because it can cause the testicles to be strangled, too.
Another key factor in determining the outcome of such cases is how long a man waits to seek medical help if a ring should become stuck.
There have been cases where men have waited many hours before seeking medical attention due to embarrassment or shame, which has led to a poorer outcome than if they had rushed to an emergency department.
While there is no official data on the number of penis rings incidents in the UK, the latest official NHS data shows there were 15 emergency penis amputations performed in England between April 2022 and March 2023.
Medics say penis rings, when used safely, can help men suffering from erectile dysfunction alongside other treatments.
However, they emphasise men should talk to their GP first, not only on safety grounds, but because impotency can also be a potential warning sign of serious health conditions like diabetes, heart disease, or prostate cancer.