Genital self‐mutilation

Abstract

A 53-year-old man was brought to the emergency department having removed both testicles and amputated his penis using a bread knife. Examination of the amputated penis showed it to be unsuitable for an attempted replant procedure. The patient was taken to theatre where the perineal wound was debrided and the remaining urethra brought down as a perineal urethrostomy, with a local cutaneous flap rotated to provide coverage for the urethra. Discussed herein are the incidence, predisposing factors, management and complications of genital self-mutilation in the adult male, and the existing literature is reviewed on the subject.

Les traumatismes de la verge: à propos de 23 cas

“…L'amputation de la verge quant ~ elle est extr6mement rare. Environ 100 cas sont identifi6s dans la litt6rature [17]. Stunell et al [17] rapportent un cas d'automutilation chez un psychotique qui s'6tait amput6 les testicules et le p~nis avec un couteau.…”

“…Environ 100 cas sont identifi6s dans la litt6rature [17]. Stunell et al [17] rapportent un cas d'automutilation chez un psychotique qui s'6tait amput6 les testicules et le p~nis avec un couteau. De m~me, Moufld et al [13] rapportent deux cas d'automutilation de la verge dont un cas d'amputation de la verge et un cas de strangulation par un anneau m~tallique.…”

Self Mutilation of Genitalia-Using Teeth

“…Rarely, self-mutilation has a serious nature that leads the patient to attempt to amputate his penis, castrate himself, extract his eye or amputate his hand [1]. The vast majority of reported cases have occurred among single, white males in their 20s and 30s [3,5,7]. Our patient fit into these gender and age groups.…”

A rare presentation of genital self-mutilation in a patient of schizophrenia

“…1 The vast majority of reported cases have occurred among single, white males in their 20s and 30s. 3,5,7 Our patient fit into these gender and age groups.…”