Successful penile reimplantation after 8 h post penile self‐mutilation: A case report

Abstract

Key Clinical Message Penile self‐mutilation may result from a suicidal attempt during a major depression crisis. The management of this urological emergency should be multidisciplinary. A macroscopic penile reimplantation performed meticulously by a urological surgeon may yield an excellent cosmetic and functional outcome. Abstract Penile self‐mutilation is an infrequent form of self‐harming behavior seen primarily in patients with schizophrenia spectrum disorders and rarely reported in those with major depressive disorders. We herewith present a major depression related case of penile self‐mutilation successfully managed by macroscopic penile reimplantation performed 8 h after the incident.

Klingsor Syndrome: An Observation in a Patient with Schizophrenia

“…The success of the treatment depends on the time between the occurrence of the trauma and access to care, this conventional time is set at 6 hours, but reimplantation should always be attempted within 12 hours or even 24 hours of the trauma [5]. Mohammed in South Africa had successfully re-implanted a penile autoamputation 8 hours after the trauma [6].…”