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January 9, 1967

Strangulation of Penis by A Hidden Thread

Author Affiliations

Miami, Fla

JAMA. 1967;199(2):135. doi:10.1001/jama.1967.03120020129036

To the Editor:—  Occasional inflammatory reactions of appendages can be caused by buried and hidden foreign bodies. Fine threads, human hair, or rubber bands can cut through the skin of the penis or other appendages without being visible. The skin will grow back together again, covering the foreign body, but inflammatory and strangulatory effects continue. Moran1 reported one such case due to a rubber band, and Alpert et al2 described three due to human hair.

Report of a Case:—  A 6-year-old boy complained of frequency of urination, dysuria, and swelling of the penis around the coronal sulcus. He was treated by pediatricians at home and in the hospital with warm soaks, antihistamines, chloramphenicol, penicillin, and chymotrypsin ointment. Nevertheless, the penile swelling continued, and three weeks later he began voiding through a fistula on the undersurface of the penis at the coronal sulcus. At urological consultation a foreign body