PMID- 32657766 OWN - NLM STAT- MEDLINE DCOM- 20210203 LR - 20210203 IS - 1997-3322 (Electronic) IS - 1018-8185 (Linking) VI - 30 IP - 1 DP - 2020 TI - Parrilla urethra: A sequalae of electric shock torture to genitals in men. A 40 case series in Kashmir (India). PG - 40-48 LID - 10.7146/torture.v30i1.105661 [doi] AB - INTRODUCTION: Since the 20th century, electric shock torture has become one of the most prevalent methods of torture partly because it produces sequelae that are more challenging to visibly detect, particularly when administered using high voltage and low current. In sexual torture, a wire is wrapped around the head of the penis and a wire electrode is inserted into the urethra.This produces unbearable pain and can lead to urethral strictures with devastating physical and psychological consequences. OBJECTIVE: To document electric shock torture to genitals as an etiologic agent in urethral stricture and erectile dysfunction amongst survivors of electric torture introducing the term "parrilla urethra" for the electric shock torture urethral stricture. MATERIALS AND METHODS: The study included 40 patients who attended the Department of Urology, Directorate of Health services, Srinagar, Kashmir, India with obstructive lower urinary tract symptoms (LUTS) / obstructive uroflowmetry between March 2010 and November 2014. All cases had an antecedent of electric shock torture to genitals six months to one year prior to examination. Pre-post psychological impact and well-being was used through Global Assessment of Functioning (GAF) scores. RESULTS: The mean age of patients was 35.6 years. Most of the urethral strictures were located in the anterior urethra. Some degree of erectile dysfunction was present in all (100%) of patients. Psychological sequelae including depression, anxiety, acute stress disorder and symptoms of post-traumatic stress disorder were observed. Patients were treated with standard urethroplasty procedures after addressing the urethral stricture.This improved both physical and psychological sequelae of torture. FAU - Rouf Khawaja, Abdul AU - Rouf Khawaja A AD - Department of Urology. Directorate of Health Services Srinagar, 190011. India. Correspondence to: roufkhawaja@rediffmail.com. FAU - Dar, Manzoor AU - Dar M AD - Delhi University Correspondence to: drmanzoor996@gmail.com. FAU - Dar, Yasir AU - Dar Y AD - Institute of Urology Dhule Mumbai.Correspondence to: yasserahmad009@gmail.com. FAU - Magray, Javeed AU - Magray J AD - Directorate of Health Services Kashmir.Correspondence to: drjavaid82@gmail.com. FAU - Sheikh, Tariq AU - Sheikh T AD - Directorate of Health Services Kashmir.Correspondence to: drtariq.sheikh@gmail.com. FAU - Zahur, Suhail AU - Zahur S AD - Directorate of Health Services Kashmir.Correspondence to: suhaelz@gmail.com. LA - eng PT - Journal Article PL - Denmark TA - Torture JT - Torture : quarterly journal on rehabilitation of torture victims and prevention of torture JID - 9309086 SB - IM MH - Adult MH - Electroshock/*adverse effects MH - Erectile Dysfunction/*etiology/surgery MH - Genitalia, Male/*injuries/surgery MH - Humans MH - India MH - Male MH - Middle Aged MH - *Torture MH - Urethral Stricture/*etiology/surgery MH - Urologic Surgical Procedures EDAT- 2020/07/14 06:00 MHDA- 2021/02/04 06:00 CRDT- 2020/07/14 06:00 PHST- 2020/07/14 06:00 [entrez] PHST- 2020/07/14 06:00 [pubmed] PHST- 2021/02/04 06:00 [medline] AID - 10.7146/torture.v30i1.105661 [doi] PST - ppublish SO - Torture. 2020;30(1):40-48. doi: 10.7146/torture.v30i1.105661.