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1Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
2Division of Urology, Regional University Teaching Hospital, Ouahigouya, Burkina Faso
3Department of Medicine, Dalhousie Medicine New Brunswick, Saint John, Canada
Over a period of three years, two cases of self-amputation of the external genitalia were recorded and managed in our urology division in Souro Sanou University Teaching Hospital. These were male patients and aged 18 years and 32 years respectively. They were irregularly followed up for psychiatric disorders. One was suffering from schizophrenia, the other from paranoid schizophrenia. The first patient self-mutilated with complete sectioning of the penis with a kitchen knife, while the second patient self-mutilated with partial amputation of the penis with exposure of the corpus cavernosa and the left testicle. Managed as an emergency from the onset, the reimplantation of the penile stump could not be carried out due to the lack of an efficient technical expertise with the availability of microsurgery. Hemostasis and refashioning of the amputation stump were performed with definitive urethrostomy for one and penile reconstruction on urethral catheter and directed healing for the other. Postoperatively the two patients were able to urinate through the urethrostomy but the cosmetic appearance of the external genitalia was unsatisfactory. Although rare, self-mutilations are dramatic and serious accidents that can be life-threatening and functionally disabling for patients. Their management must be multidisciplinary, involving urological surgeons, intensive care physicians, emergency physicians and psychiatrists with the treatment of the underlying psychiatric disorder.
Self-Injury, External Genitalia, Psychiatric, Emergency
Adama Ouattara, Abdoul Karim Paré, Mamadou T. Traoré, Delphine Yé, Aissata Ouédraogo, et al. (2023). Self-Mutilation of the External Genitalia in Psychiatric Patients in Souro Sanou University Teaching Hospital: Two Cases Report and Literature Review. International Journal of Clinical Urology, 7(2), 48-52. https://doi.org/10.11648/j.ijcu.20230702.15
Copyright © 2023 Authors retain the copyright of this article.
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