title: [Report of a case of penile self-amputation].
abstract: BACKGROUND
  Motivated by a clinic case, this report introduces some issues related with genital self-amputation in terms of descriptions, epidemiological and clinical issues.
  
  
  METHODS
  Case report describing a clinic case of genital self-amputation. The description is followed by a discussion based on the information available in the scientific literature. A man, 32 years old, with no history of mental disorder, who amputates his penis with a cutting object after quarreling with his mate for infidelity reasons.
  
  
  RESULTS
  Several characteristics imply risk factors for genital self-mutilation, such as gender identity disorders, rejection to male genitals, guilt feelings related to sexual activity and a history of previous self-injuries. More common diagnoses include schizophrenia and affective disorders followed by disorders induced by psychoactive substances.
  
  
  CONCLUSIONS
  Genital self-amputation is not a frequent situation and has been under-recorded; however, bearing in mind the high association with psychopathology and recurrence reported in worldwide literature, it is necessary to carry out a proper study and following up of patients exhibiting this conduct.
authors.affiliation: Médica, psiquiatra de la Clínica Universidad de la Sabana, docente de la Universidad de la Sabana, Bogotá, Colombia. Electronic address: sandratohe@clinicaunisabana.edu.co.
authors.forename: Sandra Milena
authors.initials: SM
authors.lastname: Toro-Herrera
authors.affiliation: Médico, psiquiatría de Interconsulta y Enlace, Clínica de Nuestra Señora de la Paz, Orden Hospitalaria de San Juan de Dios, Bogotá, Colombia.
authors.forename: Gabriel Fernando Oviedo
authors.initials: GF
authors.lastname: Lugo
authors.affiliation: Médico, MSc, psiquiatra de la Clínica Nuestra Señora de la Paz, profesor de cátedra de posgrado de psiquiatría de la Fundación Juan N. Corpas, profesor de la Universidad Jorge Tadeo Lozano, Bogotá, Colombia.
authors.forename: Pablo Zuleta
authors.initials: PZ
authors.lastname: González
keywords: Autoamputación genital; Genital self- amputation; comportamientos autolesivos; male sex; self-injurious behaviors; sexo masculino