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Male Genital Self-Mutilation in the Modern Medical Literature

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Urogenital Trauma: A Practical Guide

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Abstract

Many authors refer to the phenomenon of male genital self-mutilation as “Klingsor Syndrome” or “Eshmum Complex.” The first eponym comes from a fictitious character in the Wagner’s opera “Parsifal” where Klingsor was a magician who castrated himself in an unsuccessful attempt to gain acceptance from the Knights of the Grail [1]. The second one comes from the legendary beautiful young man mentioned above in the Phoenician mythology (see Chap. 49).

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References

  1. Bhattacharyya R, Sanyal D, Roy K. A case of Klingsor Syndrome: when there is no longer psychosis. Isr J Psychiatry Relat Sci. 2011;48(1):30–3. PMID: 21572240.

    PubMed  Google Scholar 

  2. Simpson MA, Anstee BH. Female genital self-mutilation as a cause of vaginal bleeding. Postgrad Med J. 1974;50(583):308–9.

    Article  PubMed Central  Google Scholar 

  3. Wise TN, Dietrich AM, Segall E. Female genital self-mutilation: case reports and literature review. J Sex Marital Ther. 1989;15(4):269–74.

    Article  PubMed  CAS  Google Scholar 

  4. Goldney RD, Simpson IG. Female genital self-mutilation, dysorexia and the hysterical personality: the Caenis Syndrome. Can Psychiatr Assoc J. 1975;20(6):435–41.

    Article  PubMed  CAS  Google Scholar 

  5. Stroch D. Self-castration. Letter to the editor. JAMA. 1901;36:220.

    Google Scholar 

  6. Macdonald JR. Case of castration said to be self-inflicted. Indian Medical Gazette. 1884;19(11):326–7.

    PubMed  PubMed Central  CAS  Google Scholar 

  7. Tsunenari S, Idaka T, Kanda M, Koga Y. Self-mutilation. Am J Forensic Med Pathol. 1981;2(3):203–8.

    Article  PubMed  CAS  Google Scholar 

  8. McCormick CS, Dumais MG, Johnsen NV, et al. Male genital trauma at a level 1 trauma center. World J Urol. 2020;38:3283–9.

    Article  PubMed  Google Scholar 

  9. Greilsheimer H, Groves JE. Male genital self-mutilation. Arch Gen Psychiatry. 1979;36(4):441–6.

    Article  PubMed  CAS  Google Scholar 

  10. Romilly CS, Isaac MT. Male genital self-mutilation. Br J Hosp Med. 1996;55(7):427–31.

    PubMed  CAS  Google Scholar 

  11. Veeder TA, Leo RJ. Male genital self-mutilation: a systematic review of psychiatric disorders and psychosocial factors. Gen Hosp Psychiatry. 2017;44:43–50.

    Article  PubMed  Google Scholar 

  12. Hemphill RE. A case of genital self-mutilation. Br J Med Psychol. 1951;24(4):291–5.

    Article  PubMed  CAS  Google Scholar 

  13. Blacker K, Wong N. Four cases of autocastration. Arch Gen Psychiatry. 1963;8:169–76.

    Article  PubMed  CAS  Google Scholar 

  14. Mendez R, Kiely WF, Morrow JW. Self-emasculation. J Urol. 1972;107(6):981–5.

    Article  PubMed  CAS  Google Scholar 

  15. Aboseif S, Gomez R, McAninch JW. Genital self-mutilation. J Urol. 1993;150(4):1143–6.

    Article  PubMed  CAS  Google Scholar 

  16. Mawuko-Gadosseh Y, Mayele M, Gallouo M, Graiouid M, Dakir M, Debbagh A, Aboutaieb R. Automutilation des organes génitaux externes chez l’homme [Male genital self-mutilation: a case series]. Prog Urol. 2020;30(3):172–8.

    Article  PubMed  CAS  Google Scholar 

  17. Large M, Babidge N, Andrews D, Storey P, Nielssen O. Major self-mutilation in the first episode of psychosis. Schizophr Bull. 2009;35(5):1012–21.

    Article  PubMed  Google Scholar 

  18. Gahr M, Plener PL, Kölle MA, Freudenmann RW, Schönfeldt-Lecuona C. Self-mutilation induced by psychotropic substances: a systematic review. Psychiatry Res. 2012;200(2–3):977–83.

    Article  PubMed  Google Scholar 

  19. Bourgeois M, Daubech JF, Benezech M, Lemerle AM. Enquête sur l’automutilation chez l’adulte en milieu psychiatrique (a propos de 90 cas) [Survey on self-mutilation in adults in psychiatric milieu (a propos of 90 cases)]. Ann Med Psychol (Paris). 1984;142(10):1287–95.

    PubMed  CAS  Google Scholar 

  20. Martin T, Gattaz WF. Psychiatric aspects of male genital self-mutilation. Psychopathology. 1991;24(3):170–8.

    Article  PubMed  CAS  Google Scholar 

  21. Vale K, Siemens I, Johnson TW, Wassersug RJ. Religiosity, childhood abuse, and other risk factors associated with voluntary genital ablation. Can J Behav Sci. 2013;45:230–7.

    Article  Google Scholar 

  22. Jackowich RA, Vale R, Vale K, Wassersug RJ, Johnson TW. Voluntary genital ablations: contrasting the cutters and their clients. Sex Med. 2014;2:121–32.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Roberts LF, Brett MA, Johnson TW, Wassersug RJ. A passion for castration: characterizing men who are fascinated with castration, but have not been castrated. J Sex Med. 2008;5:1669–80.

    Article  PubMed  Google Scholar 

  24. Johnson TW, Brett MA, Roberts LF, Wassersug RJ. Eunuchs in contemporary society: characterizing men who are voluntarily castrated (Part I). J Sex Med. 2007;4(4 Pt 1):930–45.

    Article  PubMed  Google Scholar 

  25. Wong STS, Wassersug RJ, Johnson TW, et al. Differences in the psychological, sexual, and childhood experiences among men with extreme interests in voluntary castration. Arch Sex Behav. 2021;50:1167–82. https://doi.org/10.1007/s10508-020-01808-6.

    Article  PubMed  Google Scholar 

  26. Wibowo E, Wong STS, Wassersug RJ, Johnson TW. Characteristics of males who obtained a voluntary penectomy. Arch Sex Behav. 2020;49(2):793–803.

    Article  PubMed  Google Scholar 

  27. Brett MA, Roberts LF, Johnson TW, Wassersug RJ. Eunuchs in contemporary society: expectations, consequences, and adjustments to castration (Part II). J Sex Med. 2007;4(4 Pt 1):946–55.

    Article  PubMed  Google Scholar 

  28. Li GZ, Man LB, He F, Huang GL. Replantation of amputated penis in Chinese men: a meta-analysis. Zhonghua Nan Ke Xue. 2013;19(8):722–6.

    PubMed  CAS  Google Scholar 

  29. Virasoro R, Tonkin JB, McCammon KA, Jordan GH. Penile amputation: cosmetic and functional results. Sex Med Rev. 2015;3(3):214–22.

    Article  PubMed  Google Scholar 

  30. Outarahout M, Sekkat FZ. Automutilation de la verge ou le suicide de genre. Trois cas de schizophrènes. L’Information Psychiatrique. 2014;90:207–11. https://doi.org/10.1684/ipe.2014.1177.

    Article  Google Scholar 

  31. Kharbach Y, Amiroune D, Ahsaini M, et al. Penile self-mutilation preceded by bizarre delusions: two case reports. J Med Case Rep. 2014;8:246.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Aalouane R, Rammouz I, Hafidi H, Boujraf S. Genital self-mutilation in an attempt of suicide by a patient with a borderline personality. J Neurosci Rural Pract. 2013;4:199–203. https://doi.org/10.4103/0976-3147.112769.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Riyach O, El Majdoub A, Tazi MF, El Ammari JE, El Fassi MJ, Khallouk A, Farih MH. Successful replantation of an amputated penis: a case report and review of the literature. J Med Case Rep. 2014;8:125. https://doi.org/10.1186/1752-1947-8-125.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Ziba OJ, Mzyiene M, Ahsaini M, Soufiane M, Tazi M, El Ammari J, Mohammed J, Farih F. Characteristics and management of male genital self-mutilation: a series of 08 cases. Int J Innov Res Sci Eng Technol. 2021;6(10):128–34.

    Google Scholar 

  35. Erkol Z, Sirin G, Erkol H, Yilmaz R, Ince H, Konuk N. Subtotal self-amputation of the penis and bilateral self-orchiectomy followed by suicide by hanging: case report. Turkiye Klinikleri J Med Sci. 2012;32:869–73.

    Article  Google Scholar 

  36. Lok U, Gulacti U, Benlioglu C, Buyukaslan H, Aktas N. Self-mutilation of genitalia-using teeth. J Clin Diagn Res. 2014;8(2):179–80. https://doi.org/10.7860/JCDR/2014/7552.4052.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Kamoun-Siala M, Fellaj-Lachtar DM, Amami O, Jarraya A. De la dysérection à l’automutilation génitale (à propos d’un cas). Annales Médico-Psychologiques Revue Psychiatrique. 2005;163:588–94.

    Article  Google Scholar 

  38. Shirodkar SS, Hammad FT, Qureshi NA. Male genital self-amputation in the Middle East. A simple repair by anterior urethrostomy. Saudi Med J. 2007;28(5):791–3.

    PubMed  Google Scholar 

  39. Qureshi NA. Male genital self-mutilation with special emphasis on the sociocultural meanings. Neurosciences (Riyadh). 2009;14(2):178–81.

    PubMed  Google Scholar 

  40. Al-Fahdi A, Al-Mahrouqi T, Al-Zain I, et al. Self-inflicted total amputation of the external genitalia as a psychological repercussion of the COVID-19 pandemic: a case report. Cureus. 2022;14(12):e32725. https://doi.org/10.7759/cureus.32725.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Anumonye A. Case report. Self-inflicted amputation of the penis in two Nigerian males. Niger Med J. 1973;3(1):51–2.

    PubMed  CAS  Google Scholar 

  42. Tabowei BI, Kombo BB. Genital self-mutilation. Niger Del Med J. 2015;1(2):40–4.

    Google Scholar 

  43. Ajape AA, Issa BA, Buhari OI, Adeoye PO, Babata AL, Abiola OO. Genital self-mutilation. Ann Afr Med. 2010;9(1):31–4.

    Article  PubMed  CAS  Google Scholar 

  44. Yusuf AJ, Bello A, Abubakar ML, et al. Genital self-mutilation in schizophrenic patients. A report of two cases. Afr J Urol. 2009;15:189–91.

    Article  Google Scholar 

  45. Jalloh M, Ndoye M, Niang L et al. Automutilation avec amputation de la verge chez des patients schizophrènes: à propos de 2 cas. Revue Africaine de Chirurgie et Spécialités. 2013;7(1).

    Google Scholar 

  46. Sarr Adiouma S, Sow Y, Ndiaye B, et al. Automutilation génitale masculine: à propos de 2 observations. Theol Sex. 2015;24:65–8. https://doi.org/10.1016/j.sexol.2014.06.002.

    Article  Google Scholar 

  47. Kabore FA, Fall PA, Diao B, et al. Auto-amputation récidivante du pénis sur terrain schizophrène: à propos d’un cas. Andrologie. 2008;18:224–6.

    Article  Google Scholar 

  48. Dékou A, Vé D, Koffi A, et al. L’automutilation génitale: intérêt d’un avis psychiatrique dans la prise en charge urologique. Afr J Urol. 2009;15:227–32.

    Article  Google Scholar 

  49. Eke N. Genital self-mutilation: there is no method in this madness. BJU Int. 2000;85(3):295–8.

    Article  PubMed  CAS  Google Scholar 

  50. Oranusi CK, Nwofor A. Traumatic penile injuries: mechanisms and problems of treatment in a tertiary institution in Nigeria. Niger J Clin Pract. 2014;17(6):763–6.

    Article  PubMed  CAS  Google Scholar 

  51. Massande Mouyendi J, Ndang Ngou Milama S, Mougougou A, Nguema Asseko B, Bayonne Manou S. Automutilation penienne sur terrain psychotique: a propos de 4 cas. Bull Med Owendo. 2017;15(43):58–62.

    Google Scholar 

  52. Muluka EAP, Dhaphale M. Severe self-mutilation among Kenyan psychotics. Br J Psychiatry. 1986;149:778–80.

    Article  PubMed  CAS  Google Scholar 

  53. Lebelo LT, Grobler GP. Case study: a patient with severe delusions who self-mutilates. S Afr J Psychiatry. 2020;26:1403. https://doi.org/10.4102/sajpsychiatry.v26i0.1403.

    Article  Google Scholar 

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  1. Department of Urology, The Royal Hospital, Muscat, Oman

    Said Abdallah AL-Mamari

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AL-Mamari, S.A. (2023). Male Genital Self-Mutilation in the Modern Medical Literature. In: Urogenital Trauma: A Practical Guide. Springer, Singapore. https://doi.org/10.1007/978-981-99-6171-9_51

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  • DOI: https://doi.org/10.1007/978-981-99-6171-9_51

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