OBJECTIVE: Penile incarceration is an infrequentclinical reality. Diagnosis is evident in most cases, and the challengesare to find the best way to retrieve the constrictive ring and repair thedamage. Nevertheless, this event being curious has motivated us toreport it.METHODS AND RESULTS: We report the case of a 48 year oldpatient victim of a "joke" resulting in a 13 day penile incarcerationproduced by 7 double metallic rings, 24 mm in internal diameter and4 mm wide, which required section and extraction of the rings as wellas wide tissue debridement and posterior plastic reconstructionusing partial thickness cutaneous grafts. We review diagnostic antherapeutic features from the literature.CONCLUSIONS: Penile incarceration should be considered anemergency, so that the earlier the constrictive object is retrieved thelower the risk for complications secondary to penile devascularization,urinary retention and urethral damage.We emphasise the need to perform retrograde urethrography andsuprapubic cistostomy if urethral lesion is suspected, a cutaneousvascular evaluation with doppler ultrasound or fluorescein test andthe opportunity of cutaneous grafts to solve tissue lesion.