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Genital Mutilation in Males.

Carlos Toribio-Vázquez1, Álvaro Yebes2, José Quesada-Olarte3

  • 1Urology department, Hospital Universitario La Paz, Paseo de La Castellana 261, Madrid, 28046, Spain. carlost@uic.es.

Current Urology Reports
|November 18, 2022
PubMed
Summary
This summary is machine-generated.

Male genital mutilation encompasses injuries from minor cuts to severe amputations. A comprehensive psychiatric evaluation and a multidisciplinary approach are crucial for effective treatment and patient well-being.

Keywords:
Genital mutilationMalesMicrosurgeryPenile reimplantation

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Area of Science:

  • Urology
  • Psychiatry
  • Emergency Medicine

Background:

  • Male genital mutilation presents a spectrum of injury, from minor lacerations to severe urological emergencies like penile or testicular amputation.
  • The rarity of these events results in limited case reports, with most literature focusing on individual instances.
  • Associated factors include psychiatric conditions, substance use, sexual practices, and cultural or religious beliefs.

Purpose of the Study:

  • To review current knowledge on male genital mutilation.
  • To emphasize the importance of psychiatric evaluation for optimal therapeutic strategies.
  • To consolidate information on causes, presentations, and management.

Main Methods:

  • Literature review of existing reports on male genital mutilation.
  • Analysis of associated factors, including psychiatric and non-psychiatric causes.
  • Examination of current and emerging treatment modalities.

Main Results:

  • Male genital mutilation has diverse etiologies, often challenging to categorize as purely psychotic or non-psychotic.
  • Reconstructive microsurgical techniques are advancing for amputation cases, aiming for improved functional and aesthetic outcomes.
  • A holistic, collaborative approach involving urologists, psychiatrists, and emergency physicians is vital for comprehensive patient care.

Conclusions:

  • Effective management of male genital mutilation requires a multidisciplinary team and a thorough psychiatric assessment.
  • Microsurgical reconstruction offers potential for better outcomes in severe cases.
  • Further research is needed to compare treatment options and their long-term impact on patient well-being.