@article{ref1,
title="Penile self-harm: a case report and concise clinical review",
journal="Scandinavian journal of urology",
year="2015",
author="Raslan, Mutie and Donaldson, James and Royle, Justine",
volume="49",
number="4",
pages="341-343",
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.<p /> <p>Language: en</p>",
language="en",
issn="2168-1805",
doi="10.3109/21681805.2015.1006248",
url="http://dx.doi.org/10.3109/21681805.2015.1006248"
}