Penile strangulation by penile constriction devices present uncommonly but require urgent intervention to minimize risk of penile injuries. Non-invasive methods can be attempted and have been proven successful in previous case reports. Surgical intervention with use of cutting tools should be considered if non-invasive means fail. We present a case of penile strangulation by a metal hex nut with successful removal using a Stryker diamond disc cutter. Despite residual scarring with retracted prepuce, the patient could void well and had normal erection on follow up at 1 month and 6 months.
Keywords: Constriction; Foreign bodies/ surgery; Penis/injuries; Sexual behaviour.