Presentation
Most of the cases reported in literature presented soon after the urethral injury unlike the index case which was discovered after 3 years. [archintsurg.org]
Case presentation A 9-year-old boy presented with a 3-year history of hair thread tourniquet injury to his penis. [jmedicalcasereports.biomedcentral.com]
Case Descriptions Case 1 A 2-year old circumcised male presented to the emergency department after being evaluated at his pediatrician's office. [frontiersin.org]
Typical Characteristics of HTTS Presentation Most cases of HTTS are presented to the emergency department or primary-care physician. [hindawi.com]
Herein, we aimed to present a boy who was 4 years old with a penile HTS caused by wrapping of his mother’s hair coil. ___ 1. Bean JF, Hebal F, Hunter CJ. [acarindex.com]
Entire Body System
- Gangrene
If diagnosis is delayed, long-term complications such as urethral fistula, urethral transection, and penile gangrene or amputation develop. Penile HTS is almost exclusively described in circumcised boys. [turkishjournalofurology.com]
Patients come to the physician because they are unable to remove the object, because of the injury to the penis itself, or both.Serious injury including gangrene of the penis is usually the result of prolonged constriction. [jamanetwork.com]
If diagnosis is delayed, long-term complications such as ure-thral fistula, urethral transection, and penile gangrene or amputation develop. Penile HTS is almost exclu-sively described in circumcised boys. [acarindex.com]
PHTS has been reported in both circumcised and uncircumcised penises.[2] If not diagnosed and treated promptly, complications including urethrocutaneous fistula, complete urethral transection, penile gangrene, and penile amputations may be the final outcome [archintsurg.org]
Hussain (2008) described the case of a 6-year-old boy who had penile HTTS unsatisfactorily treated by a general practitioner over a period of two months, terminating in amputation for gangrene [24]. [hindawi.com]
Gastrointestinal
- Diarrhea
Chief complaint at the pediatrician's office was diarrhea and penile rash believed to be due to the diarrhea. [frontiersin.org]
Urogenital
- Chordee
There was no penile chordee. After this penile degloving was done to expose both ends of the damaged urethra. Urethral mobilization was done from both the ends. [archintsurg.org]
A 2 cm urethral stricture was identified and excised, but when the urethral ends were temporarily pulled together, the penile shaft was severely bowed into a ventral chordee. [jmedicalcasereports.biomedcentral.com]
Treatment
So, early diagnosis and prompt treatment is very important.[6] In our case the patient was 8 years old and its presentation was delayed. [archintsurg.org]
Assessment, treatment, and prevention strategies for hair-thread tourniquet syndrome in infants. Nurs Womens Health. (2016) 20:421–5. doi: 10.1016/j.nwh.2016.06.005 PubMed Abstract | CrossRef Full Text | Google Scholar 7. [frontiersin.org]
Our case did not have this complication, which may be due to an urgent diagnosis and treatment. It should be noted that cultural beliefs may play a part in PHTS (10). [brieflands.com]
Having a high index of suspicion, particularly in children, is key to avoiding delays in treatment. [hindawi.com]
Prognosis
Of note, early diagnosis and management improve the prognosis of the patients (4). According to the literature, hair-thread tourniquet syndrome occurs in boys but some studies have reported this syndrome in girls (8). [brieflands.com]
Etiology
Prevention of such major complications depends on awareness of the etiology and presence of a high index of suspicion. Herein, we aimed to present a boy who was 4 years old with a penile HTS caused by wrapping of his mother’s hair coil. [turkishjournalofurology.com]
Understanding this etiologic mechanism can be helpful by early diagnosing and preventing the progression of severe complications such as penile amputation (4). [brieflands.com]
Prevention of such major complications depends on awareness of the etiology and presence of a high index of suspicion. Herein, we aimed to present a boy who was 4 years old with a penile HTS caused by wrapping of his mother’s hair coil. ___ 1. [acarindex.com]
Pathophysiology
Pathophysiology There is lack of consensus as to exactly how, when unintentionally placed, the offending ligature wraps so tightly around a structure. [hindawi.com]
Prevention
Education and prevention strategies are pivotal. [frontiersin.org]
Prevention of such major complications depends on awareness of the etiology and presence of a high index of suspicion. Herein, we aimed to present a boy who was 4 years old with a penile HTS caused by wrapping of his mother’s hair coil. [turkishjournalofurology.com]
Prevention of such major complications depends on awareness of the etiology and presence of a high index of suspicion. Herein, we aimed to present a boy who was 4 years old with a penile HTS caused by wrapping of his mother’s hair coil. ___ 1. [acarindex.com]
Understanding this etiologic mechanism can be helpful by early diagnosing and preventing the progression of severe complications such as penile amputation (4). [brieflands.com]