Self Mutilation of Genitalia-Using Teeth

Isolated Injury to Prepuce After Motor Vehicle Collision

“…Preputial injury is commonly iatrogenic in origin and follows procedures such as circumcision and hypospadias surgery [1]. Non-iatrogenic causes include most commonly being zipper injuries, child abuse, self-mutilation, animal attack, religions, congenital cause, and car accidents [2][3][4][5][6][7][8][9][10][11][12][13][14]. Zipper injuries are the only consistently reported etiology in the pediatric population [2].…”

“…Genital self-mutilation (GSM), also known as Klingsor syndrome (self-mutilation by a psychiatric patient with religious delusions), is a rare phenomenon, with little over a hundred cases identified in the literature [6]. Self-inflicted wounds range from simple lacerations of the external genitalia to complete amputation of the penis and testes, presenting a significant challenge for physicians in their management [7].…”

“…There are no specific algorithms for treating severe penile trauma, and no particular algorithm is appropriate for all types of penile injury [7]. Consideration should be given to the type of injury, severity, site, and patient history [7]. The main reasons for this include the diverse nature of injury mechanism and various anatomical landmarks [13].…”

Difficulties in Preventing Repeated Genital Self-Mutilation

“…Some authors think that the connection between male genital self-mutilation and an intellectual disability is based on lack of insight and acuteness of the patient, while others see genital self-mutilation as a way of counterbalancing intrinsic aggressive tendencies (8).…”

Genital Self-Mutilation Patient without Diagnosed Psychiatric Disorder: A Multidisciplinary Approach

“…Genital self-mutilation is an uncommon phenomenon of self-injurious behavior, with testicular lesions being the most common (61%) (Anand et al, 2015). Cases of self-mutilation range from simple lacerations of the external genitalia to complete amputation of the penis and testes (Lok et al, 2014). Rarely presented in the urologic literature, genital self-mutilation is usually associated with psychotic disorders, sexual conflict, body image distortion, internalized aggression, suicidal intent, and personality disorders (Charan and Reddy, 2011).…”