Self‐penile glans amputation: a report of two cases. Issue 1 (27th May 2016)

• Record Type: Journal Article
• Authors: Terayama, Takero; Sakamoto, Toshihisa; Ikeuchi, Hisashi; Tanaka, Yoshihiro
• Is Part Of: Acute medicine & surgery. Volume 4:Issue 1(2017)
• Page Start: 101
• Page End: 104
• Publication Date: 2016-05-27
• Subjects: Amputation -- glans penis -- penile amputation -- replantation -- self‐mutilation; Surgery -- Periodicals; Medical emergencies -- Periodicals; 617.005
• DOI: 10.1002/ams2.199
• Languages: English
• ISSNs: 2052-8817

Abstract

Abstract : Case: Self‐penile amputation, especially at the glans, has rarely been reported. Most reported cases of self‐amputation were performed at the proximal or peripubic area, and there only one case of self‐amputation at the glans has been reported in Japan. We report two cases of self‐penile amputation at the glans. Case 1: A 31‐year‐old man with no psychiatric disease completely amputated his penis at the glans. He underwent a stump plasty under spinal anesthesia. Case 2: A 46‐year‐old man with schizophrenia amputated his penis at the glans. Surgery and the post‐surgical course were almost the same as described in Case 1. Outcome: Both patients experienced few functional problems except for slight urinary stream disorders. Conclusion: A stump plasty is a good procedure to treat self‐penile amputation at the glans. It is simple, quick, does not require special technical skills, and is not associated with serious complications.