Table 1: Grades of penile strangulation, ranging from edema to necrosis.

Grade

Description

1

Edema of the distal penis.

2

Constriction injury affecting the penile skin and corpus spongiosum without urethral damage. Distal penile edema with decreased sensation.

3

Injury to the skin and urethra without the formation of a urethral fistula. Loss of distal penile sensation.

4

Complete division of the corpus spongiosum leading to a urethral fistula and constriction of the corpus cavernosum, with loss of distal penile sensation.

5

Gangrene, necrosis, or complete amputation of the distal penis.