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Penile injuries from vacuum cleaners
From the British Medical Journal 5 July, 1980. p 26:
Penile injuries from vacuum cleaners
We report four cases of penile injury sustained when using a vacuum cleaner,
probably in search of sexual excitement.
Case reports
Case 1-- A 60-year-old man said that he was changing the plug of his
Hoover Dustette vacuum cleaner in the nude while his wife was out shopping.
It "turned itself on" and caught his penis, causing tears around the external
meatus and deeply lacerating the side of the glans. The external meatus was
reconstructed and the multiple lacerations of the glans repaired with catgut.
The final result was some scarring of the glans, but the foreskin moved easily
over it.
Case 2--A 65-year-old railway signalman was in his signal box when he
bent down to pick up his tools and "caught his penis in a Hoover Dustette,
which happened to be switched on." He suffered extensive lacerations to the
glans, which were repaired with catgut with a good result.
Case 3--A 49-year-old man was vacuuming his friend's staircase in a
loose-fitting dressing gown, when, intending to switch the machine off, he
leaned across to reach the plug: "at that moment his dressing gown became
undone and his penis was sucked into the vacuum cleaner." Because he had a
phimosis he suffered multiple lacerations to the foreskin as well as
lacerations to the distal part of the shaft of the penis, including the
external meatus. His wounds were repaired with catgut and the phimosis
reduced with a dorsal slit.
Case 4--This patient was aged 68, and no history was available except
that the injury was caused by a vacuum cleaner. The injury extended through
the corpora cavernosa and the corpus spongiosum and caused complete division
of the urethra proximal to the corona. A two-stage urethroplasty was
performed, and the final result was satisfactory.
Comment
Except for the patient with phimosis, the injuries sustained by these
patients were mostly lacerations to the glans penis, presumably because the
foreskin was retracted at the time. In case 4 the injury was more extensive
and required a two-stage urethroplasty. We were surprised that none of the
other patients suffered similarly severe injuries. A meatal stricture has
been reported after this type of injury.
At least two of these injuries were caused by a Hoover Dustette, which
has fan blades about 15 cm [6 in] from the inlet. The present patients may
well have thought that the penis would be clear of the fan but were driven to
new lengths by the novelty of the experience and came to grief.
N. D. Citron
P. J. Wade
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