From Traditional Management of Mental Illness to Self-Mutilation of the Penile: A Case ReportReport as inadecuate




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Introduction: Self-mutilation of theexternal genitalia is rare. It occurs most often on a psychotic ground. CaseReport: Mr. P.O. 25-year-old, a dress maker, admitted to the urologicalemergency for self-section of the penile. The patient had cut his penile with arazor blade and the amputated distal extremity had been thrown in the watercloset. The patient was admitted 19 hours after the act of self-harm. Clinicalexamination had found a stable hemodynamic status, a section of the penile atits root. Psychiatrically schizophrenia evolving for 08 months was diagnosed.An attempt of penile reconstruction was performed. The patient benefited serumand tetanus vaccine, antibiotic and neuroleptics. The parents asked to gohome against medical advice the 5th day. Conclusion: The management ofself-mutilation of external genitalia is multidisciplinary including surgeryand psychiatry.

KEYWORDS

Self-Mutilation, Penile, Schizophrenia, Reconstruction

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Zango, B. , Kaboré, F. , Kaboré, M. , Ky, B. , Ouédraogo, R. , Kirakoya, B. , Yameogo, C. , Kabré, K. and Sanou, A. 2016 From Traditional Management of Mental Illness to Self-Mutilation of the Penile: A Case Report. Open Journal of Urology, 6, 23-26. doi: 10.4236-oju.2016.63005.





Author: Barnabé Zango1, Fasnéwindé A. Kaboré1, Moussa Kaboré1*, Bienvenue D. Ky1, Richard W. Ouédraogo2, Brahima Kirakoya1, Clôtai

Source: http://www.scirp.org/



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