title: Genital self-mutilation.
abstract: A 53-year-old man was brought to the emergency department having removed both testicles and amputated his penis using a bread knife. Examination of the amputated penis showed it to be unsuitable for an attempted replant procedure. The patient was taken to theatre where the perineal wound was debrided and the remaining urethra brought down as a perineal urethrostomy, with a local cutaneous flap rotated to provide coverage for the urethra. Discussed herein are the incidence, predisposing factors, management and complications of genital self-mutilation in the adult male, and the existing literature is reviewed on the subject.
authors.affiliation: Department of Urology, St Vincent's University Hospital, Elm Park, Dublin, Ireland. helenstunell@eircom.net
authors.forename: Helen
authors.initials: H
authors.lastname: Stunell
authors.forename: Richard E
authors.initials: RE
authors.lastname: Power
authors.forename: Michael S
authors.initials: MS
authors.lastname: Floyd
authors.forename: David M
authors.initials: DM
authors.lastname: Quinlan
mesh_terms: D000673:Amputation, Traumatic / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000293:injuries*; D010502:Perineum / Q000293:injuries*; D019651:Plastic Surgery Procedures; D012652:Self Mutilation / Q000523:psychology / Q000601:surgery*; D013737:Testis / Q000293:injuries*; D015599:Trauma Severity Indices; D013521:Urologic Surgical Procedures, Male / Q000379:methods*