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Autohemicastration in a man without schizophrenia.

A Murota-Kawano¹, A Tosaka, M Ando

¹Department of Urology, East Tokyo Metropolitan Hospital, Tokyo, Japan. akikom@purple.plala.or.jp

International Journal of Urology : Official Journal of the Japanese Urological Association

|May 1, 2001

Summary

A man self-resected his testis after injury, leading to a large scrotal hematoma. Surgical intervention successfully removed the hematoma and managed the testicular injury.

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Area of Science:

Urology
Trauma Surgery
Psychiatry

Background:

A 52-year-old male bag craftsman presented with a significant scrotal hematoma following direct trauma to the right testis.
The patient self-treated the severe pain by resecting his right testis with scissors approximately 30 minutes after the injury.

Observation:

The patient sutured the scrotal incision himself with two stitches.
He presented to the hospital 36 hours after the self-mutilation with a large scrotal hematoma.

Findings:

Emergency surgery revealed a 283g hematoma, which was evacuated.
The cut end of the right spermatic cord was ligated after thorough debridement.
Psychiatric evaluation indicated mild intellectual disability without psychosis or substance abuse.

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Implications:

This case highlights a rare instance of self-mutilation following testicular trauma.
It underscores the importance of prompt medical evaluation for scrotal injuries, even after self-treatment.
The psychological assessment is crucial in managing patients with self-inflicted injuries.