Case Report: Till death - or the urologist - do us part: management of penile wedding-ring incarceration

Penile strangulation is a rare urological emergency that can rapidly progress to vascular compromise and irreversible tissue damage. Metallic constricting devices pose the greatest challenge due to their rigidity and resistance to conventional removal techniques. We report the case of an adult male who developed progressive penile swelling and pain after self-application of a metallic wedding ring during an episode of emotional distress, necessitating mechanical sectioning with a tungsten-carbide orthopaedic cutter under continuous protective shielding for safe removal.