Characteristics and Management of Male Genital Self-Mutilation: A Series of 08 Cases

Authors : Mzyiene Mohammed; Ziba Ouima Justin Dieudonné; Mustapha Ahsaini; Mellas Soufiane; Mohammed Fadl Tazi; Jalal Eddine Elammari; Mohammed Jamal Elfassi; Moulay Hassan Farih

Volume/Issue : Volume 6 - 2021, Issue 10 - October

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Male genital self-mutilation is a physical selfinjury to the external genital, most often without suicidal intent, which occurs in the majority of cases in a psychotic setting but can be secondary to other disorders such as erectile dysfunction and in transsexual patients. Through a retrospective study of eight cases of self-mutilation managed between January 2010 and December 2020, we reviewed the characteristics, psychopathological mechanisms responsible for this condition as well as the urological and psychiatric management modalities. In this study we reported a series of male cases aged between 30 and 55 years, the type of lesion was variable: 7 cases of total or partial amputation of the penis and only one case of selfmutilation of the testicles. In total, 90% of the cases studied had a psychiatric background, requiring multidisciplinary management, especially by psychiatrists. The surgical management was a urethrostomy in 7 out of 8 cases. The evolution of the patients who benefited from a re-implantation of the penis was marked in most of the cases by the necrosis of the re-implanted penis.

Keywords : Penis, Testicles, Self-Mutilation, Penis Reimplantation, Psychiatric Disorders, Urological Emergencies.


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