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Genital Self-Mutilation in Two Young Men: Case Reports and Literature Review

Received: 14 April 2025     Accepted: 24 April 2025     Published: 29 May 2025
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Abstract

The aim of this case series was to report the diagnostic and therapeutic characteristics of self-mutilation of the external genitalia received in the urology department of the Yalgado OUEDRAOGO University Hospital in Ouagadougou. Two cases of self-mutilation of the external genitalia were retrospectively studied: one case of total emasculation and one case of laceration of the root of the penis. The parameters studied were age, reason for consultation, history, psychological state, clinical signs and treatment. The two patients were aged 27 and 29. The first was a smoker and drug user and the second a schizophrenic. The clinical signs were marked by total removal of the penis and external genitalia in one patient and a simple laceration in the other. Treatment was surgical and consisted of a urethroplasty and a simple suture. The psychiatric assessment was conducted according to DSM-5 criteria and revealed acute psychotic disorder and paranoid schizophrenia, respectively. The patients underwent multidisciplinary care with close psychiatric monitoring and postoperative urological follow-up. No cases of recurrence of self-harm were observed within six months of treatment. Management of self-injurious lesions remains problematic in developing countries due to the lack of microsurgical equipment.

Published in International Journal of Clinical Urology (Volume 9, Issue 1)
DOI 10.11648/j.ijcu.20250901.24
Page(s) 85-88
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Self-mutilation, External Genitalia, Psychiatric History, Burkina Faso

References
[1] Mawuko-Gadosseh Y, Mayele M, Gallouo M, Graiouid M, Dakir M, Debbagh A, et al. Automutilation des organes génitaux externes chez l’homme. Progrès en Urologie [Internet]. mars 2020; 30(3): 172-8. Disponible sur:
[2] Moufid K, Joual A, Debbagh A, Bennani S, Mrini ME. L’automutilation génitale : à propos de 3 cas. Progrès en Urologie. 2004; 14: 540-543.
[3] Bart S, Culty T, Pizzoferrato AC, Thibault F, Girault N, Chartier-Kastler E, et al. Nécrose complète de la verge et des testicules par strangulation dans un contexte psychotique. Progrès en Urologie [Internet]. juill 2008; 18(7): 483-5. Disponible sur:
[4] Sarr A, Sow Y, Ndiaye B, Koldimadji M, Ouedraogo B, Diao B, et al. Automutilation génitale masculine : à propos de 2 observations. Sexologies [Internet]. avr 2015; 24(2): 65-8. Disponible sur:
[5] Kabore FA, Fall PA, Diao B, Fall B, Odzegbe A, Tfeil YO, et al. Auto-amputation récidivante du pénis sur terrain schizophrène: à propos d’un cas. Androl [Internet]. sept 2008; 18(3): 224-6. Disponible sur:
[6] Mzyiene M, Ahsaini M, Mellas S, El Ammari J, Tazi M, El Fassi M, et al. Automutilation des organes génitaux externes (à propos de 8 cas). Progrès en Urologie [Internet]. nov 2021; 31(13): 778-9. Disponible sur:
[7] Veeder TA, Leo RJ. Male genital self-mutilation: a systematic review of psychiatric disorders and psychosocial factors. Gen Hosp Psychiatry. 2017; 44: 43-50.
[8] Outarahout M, Sekkat FZ. Automutilation de la verge ou le suicide de genre. Trois cas de schizophrènes. L’information psychiatrique [Internet]. 2014; 90(3): 207-11. Disponible sur:
[9] Barry MII, Keita M, Kante D, Diallo TMO, Bah MD, Diallo AB, et al. Cas Clinique: Emasculation totale : à propos d’un cas. Revue Africaine de Chirurgie et Spécialités [Internet]. 30 mai 2017; 11(1): 29-32. Disponible sur:
[10] Singh KA, Ali N, Deb P. Self-penile amputation and castration: A rare and life-threatening form of genital self-mutilation. Indian J Case Reports [Internet]. 10 mai 2022; 102-4. Disponible sur:
[11] Ouattara A, Paré AK, Traoré MT, Yé D, Ouédraogo A, Sherazi A, et al. Self-Mutilation of the External Genitalia in Psychiatric Patients in Souro Sanou University Teaching Hospital: Two Cases Report and Literature Review. International Journal of Clinical Urology 2023; 7(2): 48-52.
[12] Garofalo M, Colella A, Sadini P, Bianchi L, Saraceni G, Brunocilla E, et al. Management of self-inflicted orchiectomy in psychiatric patient. Case report and non-systematic review of the literature. Arch Ital Urol Androl [Internet]. 30 sept 2018; 90(3): 220-3. Disponible sur:
[13] Virasoro R, Tonkin JB, McCammon KA, Jordan GH. Penile Amputation: Cosmetic and Functional Results. Sex Med Rev. juill 2015; 3(3): 214-22.
[14] Jezior JR, Brady JD, Schlossberg SM. Management of penile amputation injuries. World J Surg. déc 2001; 25(12): 1602-9.
Cite This Article
  • APA Style

    Yaméogo, A. M. K. D., Kirakoya, B., Sawadogo, H., Ouédraogo, F., Some, D. P. A., et al. (2025). Genital Self-Mutilation in Two Young Men: Case Reports and Literature Review. International Journal of Clinical Urology, 9(1), 85-88. https://doi.org/10.11648/j.ijcu.20250901.24

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    ACS Style

    Yaméogo, A. M. K. D.; Kirakoya, B.; Sawadogo, H.; Ouédraogo, F.; Some, D. P. A., et al. Genital Self-Mutilation in Two Young Men: Case Reports and Literature Review. Int. J. Clin. Urol. 2025, 9(1), 85-88. doi: 10.11648/j.ijcu.20250901.24

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    AMA Style

    Yaméogo AMKD, Kirakoya B, Sawadogo H, Ouédraogo F, Some DPA, et al. Genital Self-Mutilation in Two Young Men: Case Reports and Literature Review. Int J Clin Urol. 2025;9(1):85-88. doi: 10.11648/j.ijcu.20250901.24

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  • @article{10.11648/j.ijcu.20250901.24,
      author = {Alexis Marie Kiemdiba Donega Yaméogo and Brahima Kirakoya and Hassami Sawadogo and Fatao Ouédraogo and Diane Pulcherie Ambaonewiere Some and Rasmané Ouédraogo and Adama Ouattara and Fasnéwindé Aristide Kaboré},
      title = {Genital Self-Mutilation in Two Young Men: Case Reports and Literature Review
    },
      journal = {International Journal of Clinical Urology},
      volume = {9},
      number = {1},
      pages = {85-88},
      doi = {10.11648/j.ijcu.20250901.24},
      url = {https://doi.org/10.11648/j.ijcu.20250901.24},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250901.24},
      abstract = {The aim of this case series was to report the diagnostic and therapeutic characteristics of self-mutilation of the external genitalia received in the urology department of the Yalgado OUEDRAOGO University Hospital in Ouagadougou. Two cases of self-mutilation of the external genitalia were retrospectively studied: one case of total emasculation and one case of laceration of the root of the penis. The parameters studied were age, reason for consultation, history, psychological state, clinical signs and treatment. The two patients were aged 27 and 29. The first was a smoker and drug user and the second a schizophrenic. The clinical signs were marked by total removal of the penis and external genitalia in one patient and a simple laceration in the other. Treatment was surgical and consisted of a urethroplasty and a simple suture. The psychiatric assessment was conducted according to DSM-5 criteria and revealed acute psychotic disorder and paranoid schizophrenia, respectively. The patients underwent multidisciplinary care with close psychiatric monitoring and postoperative urological follow-up. No cases of recurrence of self-harm were observed within six months of treatment. Management of self-injurious lesions remains problematic in developing countries due to the lack of microsurgical equipment.
    },
     year = {2025}
    }
    

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    AU  - Alexis Marie Kiemdiba Donega Yaméogo
    AU  - Brahima Kirakoya
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Author Information
  • Division of Urology, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Division of Urology, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Division of Urology, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Division of Urology, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Division of Psychiatry, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Division of Psychiatry, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

  • Division of Urology, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso

  • Division of Urology, Yalgado Ouédraogo University Teaching Hospital, Ouagadougou, Burkina Faso

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