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Related Experiment Videos

Genital self-mutilation.

Helen Stunell1, Richard E Power, Michael S Floyd

  • 1Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland. helenstunell@eircom.net

International Journal of Urology : Official Journal of the Japanese Urological Association
|October 3, 2006
PubMed
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Genital self-mutilation, including penile amputation and orchiectomy, presents severe urological emergencies. Management focuses on wound debridement, urethral reconstruction, and psychological support for adult males.

Area of Science:

  • Urology
  • Psychiatry
  • Forensic Medicine

Background:

  • Genital self-mutilation is a rare but severe condition requiring urgent medical and psychiatric evaluation.
  • Understanding predisposing factors is crucial for prevention and timely intervention in adult males.

Observation:

  • A 53-year-old male presented with self-inflicted penile amputation and bilateral orchiectomy using a bread knife.
  • The amputated penis was unsuitable for replantation; surgical management included debridement and perineal urethrostomy with flap coverage.

Findings:

  • The case highlights the critical need for prompt surgical management of severe genital trauma.
  • Reviewing the literature on incidence, predisposing factors, management, and complications of male genital self-mutilation is essential.

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Implications:

  • This case underscores the importance of a multidisciplinary approach involving urology, psychiatry, and surgery.
  • Further research into the psychological underpinnings and effective treatment strategies for genital self-mutilation is warranted.