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Genital self-mutilation. Case report and bibliographic review
Vital Hevia Palacios1, Ricardo Garcia Navas, Sara Alvarez Rodriguez
1Servicio de Urologia. Hospital Ramon y Cajal . Madrid. Spain.
Archivos Espanoles De Urologia
|November 16, 2013
Summary
A rare case of penile self-mutilation required urgent surgical repair. Primary reconstruction of the penis achieved positive cosmetic and functional outcomes.
Area of Science:
- Urology
- Trauma Surgery
- Forensic Medicine
Background:
- Penile trauma is uncommon, with self-mutilation being exceedingly rare.
- This case highlights the critical need for prompt surgical intervention in severe penile injuries.
Observation:
- A 51-year-old male presented with an almost complete circular penile transection due to self-inflicted injury.
- The injury involved the urethra and corpora cavernosa, sparing only the dorsal vascular complex.
Findings:
- Urgent surgical repair included primary anastomosis of the urethra and corpora cavernosa.
- Meticulous hemostasis was achieved during the procedure.
Implications:
- Prompt surgical evaluation and primary reconstruction are crucial for open penile traumas.
- Successful reconstruction can lead to favorable cosmetic and functional results, supporting immediate surgical management.
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