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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...

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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
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description	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.
doi_str_mv	10.1111/j.1442-2042.2006.01548.x
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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
title	Genital self‐mutilation
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