Self-castration.
BACKGROUND
Deliberate genital self-mutilation is rare. Successful self-castration has been reported in a small number of individuals.


METHODS
This study reports one such case of self-castration in a transsexual who was dissatisfied with waiting times for sex reassignment surgery (SRS).


CONCLUSIONS
The apparent triggering factor in this case appears to be depression related to the lengthy waiting times for SRS. As neither psychotherapy nor hormonal manipulation is successful, consideration should be given to improving the resources for patients with genuine gender dysmorphism.
Murphy
D
D
Department of Urology, St James's Hospital, Dublin, Ireland.
Murphy
M
M
Grainger
R
R
D000328:Adult; D002369:Castration / Q000523:psychology*; D006801:Humans; D008297:Male; D012652:Self Mutilation / Q000523:psychology*; D014189:Transsexualism / Q000523:psychology*