That SAMJ wedding ring paper

Incoming DM on twitter:

This seems to be potential blog-fodder for you.

I looked. It was. Oh my, it was.

Are you married? Of course you are. Or perhaps you’re not. Maybe “it’s complicated”, although to be honest, it really shouldn’t be too difficult to work out since it’s a rather binary state of affairs (no pun intended).

We all recognise that one of the enduring symbols of marriage is the wedding ring. If you are married, you can always glance down and instantly remember that you are married. How far do most of us glance down? To the fourth finger on our left hand, of course, as tradition dictates. I say “most of us”, because if you’re in rural Limpopo, there is somewhere else you can stick it.

Hence a recent paper (A Fhima & N Lahouel, 2016) in the South African Medical Journal:

We report a case of penile strangulation with a wedding ring in an adult man who presented at Van Velden Hospital casualty department, Limpopo, South Africa.

Meh. Penile strangulation with a wedding ring. We’ve all done it*.

Penile strangulation is a rarely described medical emergency. Removal of the strangulating object is challenging, with a lack of proper guidelines.

Already, this is good. But the detail is better. Much, much better:

A 28-year-old man presented to the casualty department of Van Velden Hospital, which is in a rural part of Limpopo Province, South Africa…

Yes. And?

…accompanied by his mother.

u wot m8?


Ag, nooit! How do we think that phone call went, then?

Hi Mum. Hoe gaan dit?
No, no, I’m fine thanks.
Er… just wondering if you were doing anything this evening? Any plans?
I… er… It’s just I need a lift.
Where? Oh, nowhere really. Maybe the… hospital. A bit.
Why? Oh, no particular reason. Just…

[whispers] …please hurry.

And when they got there…

His penis was severely swollen and blue, and constricted with a ring (wedding ring) at the middle section. The patient reported that he had applied the ring 4 hours previously…

Why would anyone do that?

…for erotic reasons…

My question still stands. Why would anyone do that?
What were you thinking?
Where on earth do you get that sort of idea? The idea that putting an inflexible metal band of limited diameter around a bit of your body that is… well… that is known for “getting bigger” is a good idea?

…on the recommendation of friends.

Ah. Suddenly all is explained. “Friends”, ne? Again, let’s try to place ourselves as a fly on the wall when that conversation took place. How do you get to the point in a chat with your mates when one (or more) of them suggest that slipping your wedding ring off your finger and over your winkie might be a good way to obtain some sort of sexual gratification? I mean, I remember at the braai on Sunday when my group of friends were recommending putting an orange in one’s mouth and a bin bag over one’s head in an effort to improve the quality of one’s (self) love life, but they’d never suggest putting one’s wedding ring… well… anywhere.
Still, let’s have a bit of superfluous information to complete the horrific mental picture, shall we?

His wife had delivered 2 weeks ago by caesarean section.

At this point, I was most amazed that someone who would choose to do something like this was actually married.
Then I remembered what he’d got stuck on his willy. Look, it’s been a long day. Already.

The penis was erect and blue and the patient was in severe pain.

Now, I should point out right now that there are some pictures. I thought long and hard (STOP SNIGGERING AT THE BACK!) about putting them on here. And I thought that I wouldn’t. It’s up to you if you want to click through and see… see “stuff”.

If you do want to see the effect of four hours of penile strangulation with a wedding ring in an adult man click here.

What’s wrong with you?

Back to the story. Once you’ve got a wedding ring stuck on your bits, how do the doctors get it off?

With difficulty.

First off, you try the string method:

We first attempted to use the string method to remove the ring, with the patient under sedation with ketamine. However, this failed because of excessive swelling.

Then you try…

…using an orthopaedic oscillating saw.

*involuntary clench* But:

The ring proved too wide and strong, with limited space due to swelling.

And then… well, then you try using an aspiration method.

Multiple puncture aspirations were applied with a 20 mL syringe and a pink needle.

*immediate reclench* But suddenly:

The oedema subsided and the ring was successfully removed.

Oedema being the clinical term for swelling. Because being stabbed multiple times with a 20mL syringe and a pink needle in your… er… pink needle will cause your oedema to subside. Fairly rapidly, I’d imagine.

The patient was admitted and treated with broad-spectrum antibiotics and analgesia. Within 3 days he had recovered completely and was discharged. One month later, the patient was reviewed as an outpatient. He reported full recovery.

And they all lived happily ever after.

Possibly, anyway.

If you take nothing away from this clearly cautionary tale, then you’re an idiot. If you do take something away from this cautionary tale, then it’s surely got to be that you should refrain from putting your (or anyone else’s) wedding ring on your member.

Just. Don’t.


* obviously no. No, we haven’t.

“Thanks” Jacques

Slow News Day?

When there’s not much serious news around (or maybe when there is, but you can’t bring yourself to face up to it (see the opening lines of yesterday’s post)), you end up getting stories like this:

Fullscreen capture 2016-01-08 123344 PM.bmpI have to say that for this to have made the national press in the UK, someone must have been trying very hard (no pun intended) to avoid anything to do with politics, the economy or ISIS, because it only really looks a bit like a PENIS. In my humble opinion, anyway. Limited experience. And stuff. Perhaps see a doctor if yours looks like that. I dunno. We move on.

Of course, Cape Town is far less racy than Northampton. No news site here is going to share images of cuts of meat which vaguely resemble male genitalia. No, when we’re avoiding real issues, we talk about the stiff breeze blowing through the Mother City yesterday, with what might just be the biggest non-“news” story ever:

Fullscreen capture 2016-01-08 124210 PM.bmp

Yes, sights/sites.

But basically:

Some people come to Cape Town CBD.
It’s rather windy.
They’d rather it wasn’t.
Soon it won’t be.

Behold the excitement.

It’s almost enough to drive you back to all the dramas of the real world.
Maybe that’s the idea.