ISSN: 2578-4676
Authors: Clehaude D , Mahmoud AA , Saleh NA , Amine M , Mohamed D , Adil D and Rachid A
Self-mutilation of the penis is an unusual situation, which occurs in the majority of cases in a psychotic illness. The diagnosis is clinical and the management is multidisciplinary. We present a case of penile self-mutilation in a 36-year-old patient who was being treated for schizophrenia and had poor adherence to medication. The family went to the emergency room after seeing blood on his clothes by mistake. A severed penis with à 3 cm stump, a massive blood clot, and an amputation of part of the right hemi scrotum were discovered during the urogenital examination. A urethrostomy was performed, followed by suturing of the various plants of the residual stump and the scrotum. The postoperative follow-up was simple. The patient is followed up with his psychiatrist at the same time. The management of genital self-mutilation requires coordination between urologists and psychiatrists.
Keywords: Self-Harm; Penis; Schizophrenia
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