Genital self‐mutilation

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 debride...

Full description

Saved in:
Bibliographic Details
Published in:International journal of urology 2006-10, Vol.13 (10), p.1358-1360
Main Authors: STUNELL, HELEN, POWER, RICHARD E, FLOYD, MICHAEL, QUINLAN, DAVID M
Format: Article
Language:English
Subjects:
Amputation, Traumatic - psychology
Amputation, Traumatic - surgery
auto‐castration
genital
Humans
Male
Middle Aged
Penis - injuries
Perineum - injuries
psychiatric
Reconstructive Surgical Procedures
Self Mutilation - psychology
Self Mutilation - surgery
self‐mutilation
Testis - injuries
Trauma Severity Indices
Urologic Surgical Procedures, Male - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0919-8172
1442-2042
DOI:10.1111/j.1442-2042.2006.01548.x