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From Traditional Management of Mental Illness to Self-Mutilation of the Penile: A Case Report

From Traditional Management of Mental Illness to Self-Mutilation of the Penile: A Case Report
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摘要 Introduction: Self-mutilation of the external genitalia is rare. It occurs most often on a psychotic ground. Case Report: Mr. P.O. 25-year-old, a dress maker, admitted to the urological emergency for self-section of the penile. The patient had cut his penile with a razor blade and the amputated distal extremity had been thrown in the water closet. The patient was admitted 19 hours after the act of self-harm. Clinical examination had found a stable hemodynamic status, a section of the penile at its root. Psychiatrically schizophrenia evolving for 08 months was diagnosed. An attempt of penile reconstruction was performed. The patient benefited serum and tetanus vaccine, antibiotic and neuroleptics. The parents asked to go home against medical advice the 5th day. Conclusion: The management of self-mutilation of external genitalia is multidisciplinary including surgery and psychiatry. Introduction: Self-mutilation of the external genitalia is rare. It occurs most often on a psychotic ground. Case Report: Mr. P.O. 25-year-old, a dress maker, admitted to the urological emergency for self-section of the penile. The patient had cut his penile with a razor blade and the amputated distal extremity had been thrown in the water closet. The patient was admitted 19 hours after the act of self-harm. Clinical examination had found a stable hemodynamic status, a section of the penile at its root. Psychiatrically schizophrenia evolving for 08 months was diagnosed. An attempt of penile reconstruction was performed. The patient benefited serum and tetanus vaccine, antibiotic and neuroleptics. The parents asked to go home against medical advice the 5th day. Conclusion: The management of self-mutilation of external genitalia is multidisciplinary including surgery and psychiatry.
作者 Barnabé Zango Fasnéwindé A. Kaboré Moussa Kaboré Bienvenue D. Ky Richard W. Ouédraogo Brahima Kirakoya Clôtaire Alexis Marie Kiemdiba Donega Yameogo Kabré Kabré Adama Sanou Barnabé Zango;Fasnéwindé A. Kaboré;Moussa Kaboré;Bienvenue D. Ky;Richard W. Ouédraogo;Brahima Kirakoya;Clôtaire Alexis Marie Kiemdiba Donega Yameogo;Kabré Kabré;Adama Sanou(Department of Urology, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso;Department of Psychiatry, Yalgado Ouédraogo Teaching Hospital, Ouagadougou, Burkina Faso;Division of General Surgery, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso)
出处 《Open Journal of Urology》 2016年第3期23-26,共4页 泌尿学期刊(英文)
关键词 SELF-MUTILATION PENILE SCHIZOPHRENIA RECONSTRUCTION Self-Mutilation Penile Schizophrenia Reconstruction
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