Abstract
A 90-year-old man on hormonal treatment for invasive (T4) adenocarcinoma of the prostate presented as an emergency with a paraphimosis secondary to placement of four circumferential key rings around his penis. He had experienced referred penile pain from his prostate cancer, and to overcome this, had attempted to ‘gate out’ his pain by constricting his penis and thus stimulating the pudendal nerve. His treatment in our unit consisted of a penile local anaesthetic block, removal of the key rings with a ring cutter and manual reduction of the paraphimosis.
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References
MJ Ramdass V Naraynsingh T Kuruvilla D Maharaj (2000) ArticleTitleParaphimosis due to erotic dancing Trop Med Int Health Dec 5 IssueID12 906–907
BM Rigor (2000) ArticleTitlePelvic cancer pain. Review article J Surg Oncol 75 280–300 Occurrence Handle10.1002/1096-9098(200012)75:4<280::AID-JSO13>3.0.CO;2-Q Occurrence Handle11135274
R Melzack PD Wall (1965) ArticleTitlePain mechanisms: a new theory Science 150 971–979 Occurrence Handle1:STN:280:CCmD2c7mtVA%3D Occurrence Handle5320816
AH. Dickenson (2002) ArticleTitleGate control theory of pain stands the test of time Br J Anaesth 88 755–757 Occurrence Handle10.1093/bja/88.6.755 Occurrence Handle1:STN:280:DC%2BD38vhvVKrtQ%3D%3D Occurrence Handle12173188
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Wimsey, S., Thiruchelvam, N. & Keoghane, S.R. A Key Cause of Paraphimosis. Int Urol Nephrol 38, 111–113 (2006). https://doi.org/10.1007/s11255-005-3831-z
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DOI: https://doi.org/10.1007/s11255-005-3831-z