[Three cases of penile self-mutilation].

Area of Science:

• Urology
• Psychiatry
• Forensic Medicine

Background:

• Penile self-mutilation is an exceptionally rare phenomenon.
• This report details three distinct cases of penile self-amputation encountered by the authors.

Observation:

• Case 1: A 48-year-old man with no prior psychiatric history amputated his penis with a utility knife, later dying by suicide post-surgery.
• Case 2: A 42-year-old man with intellectual impairment used a kitchen knife for penile amputation.
• Case 3: A 41-year-old man diagnosed with schizophrenia performed self-amputation using broken glass.

Findings:

• The cases involved varied methods of amputation and different psychiatric backgrounds, including no history, intellectual impairment, and schizophrenia.
• One patient died by suicide shortly after surgical repair, underscoring the severity of underlying psychological distress.

Implications:

• These rare cases emphasize the critical need for prompt psychiatric evaluation and management in individuals presenting with penile self-mutilation.
• Effective treatment requires a multidisciplinary approach, integrating surgical intervention with intensive psychiatric care to address the underlying mental health issues and prevent further harm.