Genital self‐mutilation: there is no method in this madness

Eke, N

doi:10.1046/j.1464-410x.2000.00438.x

Cited by 46 publications

(56 citation statements)

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“…Self-punishment under the effect of sensation of guilt or shame may be based on incorrect religious beliefs or psychiatric disorders such as self-amputation of the penis or all the external genitalia to counteract psychotic disorders known as Klingsor syndrome [20,21]. These injuries are extremely rare in the literature and are mainly related to guilt feelings with religious psychotic experiences for sexual offences [15,22,23].…”

Section: Discussionmentioning

confidence: 99%

Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. II. Urological Self-Inflicted Harms: 1. Unintentional Patient’s Side-Inflictor Urological Injuries

Gadelkareem¹,

Shahat²,

Abdelhafez³

et al. 2019

Current Urology

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Introduction: Unintentional self-inflicted injuries mainly refer to those injuries which are inflicted by the patient himself with benign intentions. In urology, they may vary and result in significant morbidities. Patients and Methods: A retrospective search of our patients' data records for the reported cases of patient's side-inflictor urological injuries during the period July 2006 - June 2016 was made. Each case was studied for age, gender, primary diagnosis, injury inflictor, involved organ, motivating factor, mechanism, diagnosis, management, and final outcome. Results: Of more than 55,000 urological procedures, 26 patients (0.047%) were involved in unintentional patient's side-inflictor urological injuries. The age range was 8-76 years and included 23 males and 3 females. Fifteen patients (57.7%) had urological disorders before the injury. They could be differentiated into direct organ involvement injuries (53.8%) and catheter involvement injuries (46.2%). External male urogenital organs were involved in 69.3% of cases which were diagnosed on physical examination. The inflictor of the injury was the patient himself, a relative, and another patient in 73.1, 19.2, and 7.7% of cases, respectively. Motivating factors were relief of painful conditions (34.6%), psychiatric disorders (38.5%), and sexual purposes (27%). Final outcomes were short-term harm, long-term harm, and permanent disability in 50, 11.5, and 38.5% of cases, respectively. Conclusion: Unintentional patient's side-inflictor urological injuries are very rare events and mainly involve the external male urogenital organs under different motivating stressors. They could be differen-tiated into direct organ and catheter manipulation injuries with variable final outcomes from mild short-term harms to permanent disabilities.

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Section: Discussionmentioning

confidence: 99%

Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. II. Urological Self-Inflicted Harms: 1. Unintentional Patient’s Side-Inflictor Urological Injuries

Gadelkareem¹,

Shahat²,

Abdelhafez³

et al. 2019

Current Urology

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“…GSM is done by individuals from all races, religions and cultures, and the first case was reported in 1901 by Strock at the English literature. 12 It is very hard to predict GSM before it actually is done. Motivations for GSM are multifactorial.…”

Section: Discussionmentioning

confidence: 99%

Genital Self-Mutilation and Psychotic Disorder: Case Report

Gül¹

2015

Turkiye Klinikleri J Case Rep

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“…In a group of 52 cases of GSM, Greilsheimer and Groves found 87% of the patients to be psychotic and 13% of the patients to be non-psychotic. Some authors have further identified three groups of at-risk men: psychotics, characterdisordered individuals including transsexuals, and individuals under socio-cultural influences [6]. The major psychotic illnesses in these patients included delusions in chronic paranoid schizophrenia and commanding hallucinations [2,6].…”

Section: Introductionmentioning

confidence: 99%

“…Some authors have further identified three groups of at-risk men: psychotics, characterdisordered individuals including transsexuals, and individuals under socio-cultural influences [6]. The major psychotic illnesses in these patients included delusions in chronic paranoid schizophrenia and commanding hallucinations [2,6]. The non-psychotic cases included character disorders, transvestism, and complex religious or cultural beliefs.…”

Section: Introductionmentioning

confidence: 99%

“…However, a few cases have been described in nonpsychotic persons and often after a period of planning that resulted either from bizarre autoerotic acts or from attempts at crude sex change operations by the transsexuals [1,6]. It has been suggested that there is no difference in the severity of the self-inflicted injuries between psychotic and non-psychotic patients [8].…”

Section: Introductionmentioning

confidence: 99%

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