ISSN: 2578-4676
Authors: Larrache Y, Nzambimana D*, Bencherki Y, Moataz A, Dakir M, Debbagh A and Aboutaieb R
Introduction: We present a rare case of complete self-amputation of the penis to a patient followed for schizophrenia under neuroleptic. Case Presentation: A 44 years old patient, schizophrenic under neuroleptic, who presents following an almost total section of his penis 48 hours after his self-mutilation. After having ruled out a life-threatening emergency, hemostasis control with urethral catheterization was carried out in the operating room and then phallic replacement may be indicated to the patient after psychological stabilization. Discussion: The section of the penis is a rare urological emergency that requires a fast surgical catch and can be classified into 3 groups: self-mutilation, criminal amputation or traumatic accident. Schizophrenia and depression represent the two most common causes of psychosis. Iatrogenic amputations of the penis have been described in the literature secondary to circumcisions. Surgical management is based on emergency reimplantation of the penis, section with placement of a urethral catheter or phallic replacement. Conclusion: The section of the penis is a rare urological emergency and the choice of treatment depends on the severity of the lesions and the consultation time.
Keywords: Verge; Self-Mutilation; Urological Emergency; Schizophrenia; Case Report
