Citation

Raslan M, Donaldson J, Royle J. Scand. J. Urol. 2015; 49(4): 341-343.

Affiliation

Department of Urology, Aberdeen Royal Infirmary , Aberdeen , UK.

Copyright

(Copyright © 2015, Informa - Taylor and Francis Group)

DOI

10.3109/21681805.2015.1006248

PMID

25649685

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.

Language: en