Self-emasculation and self-castration: immediate surgical management and ultimate psychological adjustment

Self-emasculation and self-castration most often occur in individuals with known psychiatric disease. In the 3 patients presented 2 performed self-castration apparently while suffering the effects of drugs or alcohol. In both instances apparent psychological adjustment was satisfactory after appropriate psychological care. In the third patient total self-emasculation occurred against the background of known schizophrenia. Immediate surgical management of each patient is presented.