Penile Thread Tourniquet Syndrome: A Case Report and Review of Age-Related Variability

Authors

  • Dr. Sadaqat Ullah Ayub Teaching Hospital Abbottabad Author
  • Dr. Jawad Khan Ayub Teaching Hospital Abbottabad Author
  • Dr. Attia Mahmood Ayub Teaching Hospital Abbottabad Author
  • Dr. Asifa Irfan Ayub Teaching Hospital Abbottabad Author
  • Dr. Aisha Habib Islamic International Medical College, Riphah international university Isalamabad Author

DOI:

https://doi.org/10.62497/irabcs.154

Keywords:

Penile Tourniquet Syndrome, Penile injury, Thread strangulation

Abstract

Penile Thread Tourniquet Syndrome (PTTS), a rare variant of Penile Tourniquet Syndrome (PTS), is a paediatric urological emergency characterized by external constriction of penis by hair or thread, often leading to necrosis, ischemia, and oedema. A urethro-cutaneous fistula, urethral transection, and penile amputation are possible outcomes of this disorder if left untreated. Though commonly reported in infants, this case details a rare occurrence in a 10-year-old male. A circumferential thread at the penoscrotal junction caused localized infection and oedema without urethral damage. Surgical intervention and conservative management resulted in a favourable outcome. This case emphasizes the need for clinical vigilance in atypical age groups and for rare causes of penile injury.

Downloads

Download data is not yet available.

Author Biographies

  • Dr. Sadaqat Ullah, Ayub Teaching Hospital Abbottabad

    House Officer, Urology Ward Ayub Teaching Hospital Abbottabad

  • Dr. Jawad Khan, Ayub Teaching Hospital Abbottabad

    Post graduate resident Urology, Ayub teaching Hospital Abbottabad

  • Dr. Attia Mahmood, Ayub Teaching Hospital Abbottabad

    House officer, Ayub teaching hospital Abbottabad

  • Dr. Asifa Irfan, Ayub Teaching Hospital Abbottabad

    House officer, Ayub teaching Hospital Abbottabad

References

Zengin K, Ozdamar MY, Albayrak S, et al. Hair Coil Penile Tourniquet Syndrome in an Unusual Age. Case Rep Urol. 2015;2015:1-2. doi:10.1155/2015/642547.

Özçift B, Ağras K. Hair tourniquet syndrome of penis: A rare situation in boys with serious complications if not recognized. Turk J Urol. 2019;45(4):322-324. doi:10.5152/tud.2018.36699.

Rawls WF, White JT, Mohamed A, Peppas D, Rosenberg E. Case Report: Penile Strangulation Secondary to Hair Tourniquet. Front Pediatr. 2020;8. doi:10.3389/fped.2020.00477.

Badawy H, Soliman A, Ouf A, Hammad A, Orabi S, Hanno A. Progressive hair coil penile tourniquet syndrome: Multicenter experience with 25 cases. J Pediatr Surg. 2010;45(7):1514-1518. doi:10.1016/j.jpedsurg.2009.11.008.

Ihara T, Takei H, Kishibe S, Nomura O. Hair tourniquet syndrome on the toe and labia. Pediatrics International. 2018;60(12):1095-1096. doi:10.1111/ped.13712.

Mat Saad AZ, Purcell EM, McCann JJ. Hair-thread tourniquet syndrome in an infant with bony erosion: A case report, literature review, and meta-analysis. Ann Plast Surg. 2006;57(4):447-452. doi:10.1097/01.sap.0000222571.98387.71.

Abbasi SA, Shabbir MU Bin, Salman Meer MS Bin, Awab-ur-Rehman. Hair-thread tourniquet syndrome. Medical Reports. 2025;9:100157. doi:10.1016/j.hmedic.2025.100157.

Bouassida K, Ben Ahmed K, Ben Othmen M, Jaidane M. Penile hair coil strangulation in a 9-year-old patient: Surgical management and review of the literature. Annals of Medicine and Surgery. 2020;60:50-55. doi:10.1016/j.amsu.2020.10.020.

Klusmann A, Lenard HG. Tourniquet syndrome - Accident or abuse? Eur J Pediatr. 2004;163(8):495-498. doi:10.1007/s00431-004-1466-1.

Vyas KN, Solanki MI. Penile strangulation by a metal ring: an easy and unique thread method for removal of the ring. International Surgery Journal. 2019;6(2):623. doi:10.18203/2349-2902.isj20190418.

Published

12/07/2025

How to Cite

1.
Rehmat S ullah, Jawad Khan, Attia Mahmood, Dr. Asifa Irfan, Aisha Habib Ahmed. Penile Thread Tourniquet Syndrome: A Case Report and Review of Age-Related Variability. IRABCS [Internet]. 2025 Dec. 7 [cited 2025 Dec. 15];3(2). Available from: https://irjpl.org/irabcs/article/view/154