Unusual Mechanisms of Penile Amputation

Case Reports in Urology ◽

10.1155/2019/1582047 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Julian Fazi ◽

David Adkins ◽

Jennifer Knight ◽

Adam Luchey

Keyword(s):

Domestic Violence ◽

Young Adolescent ◽

Perineal Trauma ◽

Penile Amputation ◽

Self Mutilation ◽

English Bulldog

Penile amputation is an uncommon and highly morbid injury. Many mechanisms have been reported ranging from self-mutilation and domestic violence to traumatic circumcisions. We present two unusual cases of traumatic penile amputation. An older gentleman endured extensive perineal trauma after being trapped underneath an industrial-sized lawnmower, and a young adolescent was bitten by an English bulldog and suffered amputation of the glans of his penis. These unique and very different cases of penile amputation highlight differences in operative managements, complications, and reconstructive possibilities.

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Perspectives on US Domestic Violence Emergency Shelters: What do Young Adolescent Residents and their Mothers Say?

Child Care in Practice ◽

10.1080/13575279.2011.596814 ◽

2011 ◽

Vol 17 (4) ◽

pp. 393-415 ◽

Cited By ~ 15

Author(s):

Amy Chanmugam

Keyword(s):

Domestic Violence ◽

Young Adolescent ◽

Emergency Shelters

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A successful microsurgical approach to treating penile amputation following genital self mutilation

Journal of Surgical Case Reports ◽

10.1093/jscr/rjy271 ◽

2018 ◽

Vol 2018 (10) ◽

Cited By ~ 2

Author(s):

Phillippa L Caygill ◽

Michael S Floyd Jr ◽

Francesca J New ◽

Melissa C Davies

Keyword(s):

Penile Amputation ◽

Self Mutilation ◽

Microsurgical Approach

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Self-mutilation in urologic patients: Case report

Timocki medicinski glasnik ◽

10.5937/tmg2004159z ◽

2020 ◽

Vol 45 (4) ◽

pp. 159-161

Author(s):

Radoš Zikić ◽

Zvonimir Adamović ◽

Zoran Jelenković

Keyword(s):

Health Care ◽

Case Report ◽

Care Facility ◽

Health Care Facility ◽

Psychiatric Ward ◽

Anatomical Features ◽

Penile Amputation ◽

Self Mutilation ◽

Delusional Idea ◽

Genital Injury

Self-mutilation is intentionally injuring oneself. Generally, the most common self-inflicted wounds are burns and cuts which can be closed and open. In extreme cases it could be a suicidal attempt. In urology, genitals are usually the object of mutilation. Because of their anatomical features and topographic location, they are most commonly exposed to these procedures. There may be cuts on the penis, perineum, scrotum; scrotum avulsion, orhiectomia, castration to penile amputation. These are mental patients suffering from paranioid schizophrenia. As part of their delusions, they have bodily-cinesthetic hallucinations that manifest discomfort in the genital area. There is a delusional idea that the only solution to eliminate the hallucinations present is to self-mutilate. Because these organs are very blood-borne, they are always shocked after the ritual because of bleeding and pain. We present a 46-year-old patient with severe genital injury, scrotum avulsion, and subtotal penile amputation. Since more than 2 hours had passed since self-mutilation, the suture of the penis could not be done, so after resuscitation, a suture of the scrotum, tunica albuginae and an external urethral opening were done. After leaving the recovery room, he was transferred to a psychiatric ward and later to a higher health care facility.

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