Open Access Journal of Urology & Nephrology (OAJUN)

ISSN: 2578-4676

Case Report

Penile Self-Mutilation: Cause and Management

Authors: Clehaude D , Mahmoud AA , Saleh NA , Amine M , Mohamed D , Adil D and Rachid A

DOI: 10.23880/oajun-16000196

Abstract

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

View PDF

F1 europub scilit.net

Chat with us on WhatsApp

Welcome to Medwin Publishers. How can we help you today?