Self-Induced Trauma to the Genitalia: a Review of the Literature and Management Schemes

Koller, Christopher; Wang, Shuhong; Sandoval, Victor; Yousif, Ayad; Hsieh, Tung‐Chin; Raheem, Omer

doi:10.1007/s11934-021-01034-0

Cited by 4 publications

(2 citation statements)

References 46 publications

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“…Death due to hemorrhage as a result of genital mutilations is rare [2,6,7]. In the present case, the severity of the injury, the age of the victim and the cirrhosis from which he suffered are likely to have contributed to the fatal outcome, despite the fluid resuscitation, the respiratory support and the lack of complications during the surgical procedure [6,8,9].…”

Section: The Operative Management Of the Injurymentioning

confidence: 78%

A fatal and unusual genital mutilation in an elderly man as a result of sharp force injuries and domestic dog predation

Simonit

Moreschi

Desinan

2022

Forensic Sci Med Pathol

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Cases of genital amputation require a careful investigation, since they may be the result of self-inflicted injuries, assaults, animal predation, or post-mortem body mutilation. In the present case, an 81-year-old man affected by liver cirrhosis and dementia and suffering from sexual disinhibition was found lying half-naked and unconscious in his courtyard; profuse bleeding in the perineal area and the absence of the external genitalia were observed. The victim was transferred to hospital and underwent surgical emergency treatment, but he died 2 days later. No sharp tools were found on the scene. Moreover, the autopsy did not reveal any defense or tentative wound on the body and no blood stains on the hands of the victim. Several linear scratches were detected close to the edges of the wound; according to the surgical report, these scratches were clean-cut in the lower part and crenated and infiltrated by blood in the cranial part. Although the medical history of the man could be consistent with self-mutilation, it was not possible to rule out the involvement of other people, including the possibility of an attempt by his relatives to cover up what may have been a self-amputation. Furthermore, the victim’s dog vomited parts of the man’s genitalia while being transported to a dog shelter. Similar cases have rarely been published in the current forensic literature.

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Section: The Operative Management Of the Injurymentioning

confidence: 78%

A fatal and unusual genital mutilation in an elderly man as a result of sharp force injuries and domestic dog predation

Simonit

Moreschi

Desinan

2022

Forensic Sci Med Pathol

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“…[ 16 ] However, it could also be self-inflicted on the penis by the patient as a feature of Klingsor syndrome. [ 28 ] It usually results in the laceration or amputation of the penis. [ 13 ] In addition to the above burden, there is the risk of life-threatening haemorrhage from self-inflicted injuries.…”

Section: Discussionmentioning

confidence: 99%

Penile trauma burden and aetiology in the paediatric and adult population: A scoping review and critical analysis of the literature

Tolani,

Webber,

Buckley

2023

J West Afr Coll Surg

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Penile trauma is rare. It is associated with the impairment of physiological functions and deterioration in patients’ quality of life. Currently, the relevance of age demographics in the occurrence of this debilitating injury has not been well discussed. The objective of this study was to provide a scoping review of penile trauma within the lens of the legal age of maturity. A search of the PubMed, Scopus and Web of Science databases was conducted, and then, the identified publications were used to conduct this scoping review focussing on the study aim. The results identified were categorised into five themes. This included publication information (author, year, country, study duration); demographic information (age of presentation, number of patients, relative burden); penile trauma clinical pattern (type, severity, associated injury), risk factors and clinical consequences. While mobile and active young adults were at risk of outdoor trauma, the report on penile trauma in the paediatric population is rare and usually focussed on sexual trauma. Penetrating trauma has been more extensively studied in comparison to blunt penile trauma despite the significance of the latter in the paediatric population. Injury severity classification is not available for most studies limiting their usefulness in the universal comparison of trauma severity and injury prognostication. There is a diversity in the burden and presentation of penile trauma. Available research studies are limited in the paediatric population, mostly focussed on penile fracture in adults and generally devoid of a standardised penile trauma severity description. Additional studies with a specific focus on penile trauma are required to characterise aetiological risks and injury severity across the legal age of maturity.

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Summary Paper of the Updated 2023 European Association of Urology Guidelines on Urological Trauma

Serafetinidis,

Campos-Juanatey,

Hallscheidt

et al. 2024

European Urology Focus

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Self-Induced Trauma to the Genitalia: a Review of the Literature and Management Schemes

Cited by 4 publications

References 46 publications

A fatal and unusual genital mutilation in an elderly man as a result of sharp force injuries and domestic dog predation

A fatal and unusual genital mutilation in an elderly man as a result of sharp force injuries and domestic dog predation

Penile trauma burden and aetiology in the paediatric and adult population: A scoping review and critical analysis of the literature

Summary Paper of the Updated 2023 European Association of Urology Guidelines on Urological Trauma

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