Self-performed glansectomy and surgical repair by a nonpsychotic patient on androgen replacement therapy

Abstract

Genital self-amputation in men is a rare condition. We report aninteresting case of penile self-amputation that was performed andsurgically repaired by a nonpsychotic patient who was enrolledin a clinical trial for androgen replacement therapy. Using steriletechnique for amputation of the glans penis and using cotton threadto suture the wound, the patient was able to avoid hemorrhageand infection. This is the first reported case of androgen therapy–induced penile self-amputation with patient-performed surgicalreconstruction using primitive instruments.