title: Genital self-mutilation.
abstract: We present a case report of a 22-year-old Nigerian student who presented to the accident and emergency unit of a Nigerian Teaching Hospital with a history of self-inflicted genital injury following a suicide attempt. He had background history of predisposition to depressive illness, a current diagnosis of a major depressive disorder, and had had two attempted suicidal episodes in the last 3 months prior to this event. The clinical finding shows a patient with sad affect, feeling of hopelessness, and worthlessness; however, the vital signs remained fairly stable. At examination under anesthesia, the testes were exposed and the right already self-castrated. The penis was degloved to the level of the Buck's fascia with intact corpora cavernosa and urethra. He had surgical excision of the hanging self-castrated right testis with debridement and primary closure of the genital laceration. He was promptly reviewed by the psychiatrists who co-managed appropriately.
authors.affiliation: Division of Urology, University of Ilorin Teaching Hospital, Ilorin, Nigeria. ajsnrkudimoh@yahoo.co.uk
authors.forename: A A
authors.initials: AA
authors.lastname: Ajape
authors.forename: B A
authors.initials: BA
authors.lastname: Issa
authors.forename: O I N
authors.initials: OI
authors.lastname: Buhari
authors.forename: P O
authors.initials: PO
authors.lastname: Adeoye
authors.forename: A L
authors.initials: AL
authors.lastname: Babata
authors.forename: O O
authors.initials: OO
authors.lastname: Abiola
mesh_terms: D002369:Castration / Q000523:psychology* / Q000534:rehabilitation; D003865:Major Depressive Disorder / Q000150:complications / Q000523:psychology*; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries / Q000601:surgery; D012611:Scrotum / Q000293:injuries / Q000601:surgery; D012652:Self Mutilation / Q000150:complications / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology*; D013737:Testis / Q000293:injuries / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult