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Repetitive male genital self-mutilation: a case report and discussion of possible risk factors
Glenn Catalano1, Maria C Catalano, Kathleen M Carroll
1Department of Psychiatry and Behavioral Medicine, University of South Florida College of Medicine, Tampa, Florida, USA. gcatalan@hsc.usf.edu
Abstract:
Male genital self-mutilation is an infrequently reported occurrence in the medical literature. The reports describing such cases have focused mostly on surgical repair. The case reports written from a psychiatric point of view have outlined possible risk factors contributing to this behavior. Typically, reports depict cases of a single episode of self-mutilation. To date, we have found twelve cases that have addressed the specific issue of repeated episodes of genital self-mutilation. In this article, we report the case of a 49-year-old man who succeeded in castrating himself after sequential episodes of genital mutilation. We will review previous cases of repetitive male genital self-mutilation and draw comparisons between those and our patient's case to arrive at common risk factors that may alert the clinician to this type of behavior.
Insights
This study details a rare case of male genital self-mutilation, highlighting repeated episodes and identifying potential risk factors. It reviews similar cases to aid clinicians in recognizing this behavior.
Area of Science:
- Urology
- Psychiatry
Background:
- Male genital self-mutilation is rare, with most literature focusing on surgical repair.
- Psychiatric case reports have explored risk factors for this behavior.
- Previous reports typically describe single episodes of self-mutilation.
Observation:
- This article presents a case of a 49-year-old man with sequential male genital self-mutilation, culminating in self-castration.
- The case involves repeated episodes, distinguishing it from typical single-occurrence reports.
Findings:
- A review of twelve prior cases of repetitive male genital self-mutilation was conducted.
- Comparisons between these cases and the current patient's presentation aim to identify common risk factors.
Implications:
- Identifying common risk factors can help clinicians recognize and potentially prevent male genital self-mutilation.
- Understanding the patterns of repetitive self-mutilation is crucial for clinical awareness and intervention.
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