title: Penile self-harm: a case report and concise clinical review.
abstract: Male genital self-mutilation is extremely rare and may be associated with severe psychopathology. This study reports the case of a 26-year-old man who presented after incising his prepuce with a knife and placing a rubber band around his foreskin. A plastic ring was also found underneath the prepuce. Clinical examination revealed a lateral preputial laceration with gross preputial oedema and dark red discoloration with a clear demarcation where the elastic band had been placed. A pelvic X-ray revealed no other foreign bodies. Following 72 h of observation he developed signs of preputial necrosis, which prompted urgent circumcision; this revealed a healthy underlying glans. In conclusion, male genital self-harm requires urgent urological and psychiatric assessments to prevent surgical and psychiatric sequelae including necrotizing fasciitis and suicide.
authors: Department of Urology, Aberdeen Royal Infirmary , Aberdeen , UK.
authors: Mutie
authors: M
authors: Raslan
authors: James
authors: J
authors: Donaldson
authors: Justine
authors: J
authors: Royle
mesh_terms: D000328:Adult; D002944:Circumcision, Male; D003866:Depressive Disorder / Q000523:psychology; D052816:Foreskin / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D010413:Penis / Q000293:injuries; D012652:Self Mutilation / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000523:psychology*
keywords: Circumcision; genital; penile injury; self-harm