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Genital self-mutilation

S Aboseif1, R Gomez, J W McAninch

  • 1Department of Urology, University of California School of Medicine, San Francisco.

The Journal of Urology
|October 1, 1993
PubMed
Summary
This summary is machine-generated.

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This study examines 14 patients with self-inflicted genital injuries, finding that surgical outcomes were generally good, even with severe injuries. Management depended on injury severity and patient mental status.

Area of Science:

  • Urology
  • Psychiatry
  • Trauma Surgery

Background:

  • Self-inflicted genital injuries are rare but can be severe.
  • Understanding patient demographics and injury patterns is crucial for management.

Purpose of the Study:

  • To analyze a series of self-inflicted genital injuries.
  • To evaluate surgical management and outcomes in relation to patient characteristics and injury severity.

Main Methods:

  • Retrospective review of 14 patients with 19 self-inflicted genital injuries over 10 years.
  • Analysis of patient demographics, psychiatric status, substance abuse history, injury type, surgical management, and outcomes.

Main Results:

  • 65% of patients were psychotic; 55% had a history of alcohol/drug abuse.

Related Experiment Videos

  • Injuries ranged from lacerations to amputations; severity did not differ between psychotic and non-psychotic patients.
  • Surgical outcomes were good, with satisfactory functional results in penile replantation cases; one urethral stricture developed.

    • Conclusions:

    • Self-inflicted genital injuries require tailored surgical management based on injury severity and patient factors.
    • Despite the severity of some injuries, good cosmetic and functional outcomes are achievable with appropriate treatment.