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Latin-American Center for Perinatology, Woman and Reproductive Health

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A propósito de un caso de autoamputación peneana / Report of a case of penile self-amputation

Toro-Herrera, Sandra Milena; Oviedo Lugo, Gabriel Fernando; González, Pablo Zuleta.
Rev. colomb. psiquiatr ; 41(4): 910-919, oct. 2012. ilus, tab
Article in Spanish | LILACS, COLNAL | ID: lil-675302

Introduction:

Motivated by a clinic case, this report introduces some issues related with genital self-amputation in terms of descriptions, epidemiological and clinical issues.

Methodology:

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.

Conclusion:

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...
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