{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:37:08Z","timestamp":1768433828295,"version":"3.49.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"content-version":"vor","delay-in-days":306,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Traumatic penile amputation is a highly uncommon surgical emergency that requires immediate intervention. Most reported cases involve genital self-mutilation induced by underlying psychiatric disorder, especially schizophrenia. The self-mutilation of external genitals in psychiatric patients, also known as Klingsor syndrome, is a rare form of urotrauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We present a case of partial penile amputation in a 46-year-old male with Klingsor syndrome admitted to the hospital 3 days after the incident. Urological examination revealed a subtotal cut of the penis, including the distal part of the mons pubis, dorsal and lateral parts of the penile skin, corpus cavernosum, and corpus spongiosum, as well as a partial bulbous urethra rupture. The penis remained suspended by only a thin ventral part of the penile skin. After macroscopic surgical replantation, the patient recovered well and could urinate without any symptoms of urethral stricture. The entire penis remained viable with minimal scarring at the surgical site, and penile erection could be achieved and maintained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The case demonstrates a rare instance of the successful proximal penile shaft amputation via macrosurgical techniques by an experienced urologic surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.10.141","type":"journal-article","created":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T02:17:06Z","timestamp":1604715426000},"page":"387-391","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Partial penile amputation due to Klingsor syndrome"],"prefix":"10.1097","volume":"77","author":[{"given":"Syakri","family":"Syahrir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Asykar","family":"Palinrungi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khoirul","family":"Kholis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Syarif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Faruk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Christeven","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-87-20260114","first-page":"30","article-title":"A case of Klingsor syndrome: when there is no longer psychosis","volume":"48","author":"Bhattacharyya","year":"2011","journal-title":"Isr. J. Psychiatry Relat. Sci"},{"key":"R2-87-20260114","doi-asserted-by":"crossref","first-page":"305","DOI":"10.4103\/0974-7796.120309","article-title":"Genital self-amputation or the Klingsor syndrome: successful non-microsurgical penile replantation","volume":"5","author":"El harrech","year":"2013","journal-title":"Urol. Ann"},{"key":"R3-87-20260114","first-page":"349","article-title":"Klingsor syndrome: a case report","volume":"43","author":"Bhargava","year":"2001","journal-title":"Indian J. Psychiatry"},{"key":"R4-87-20260114","first-page":"62","article-title":"Penile replantation, science or myth? A systematic review","volume":"4","author":"Babaei","year":"2007","journal-title":"Urol. J"},{"key":"R5-87-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R6-87-20260114","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1002\/sm2.54","article-title":"Surgical management of traumatic penile amputation: a case report and review of the world literature","volume":"3","author":"Raheem","year":"2015","journal-title":"Sex. Med"},{"key":"R7-87-20260114","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.afju.2017.02.003","article-title":"Successful penile reimplantation and systematic review of world literature","volume":"23","author":"Mensah","year":"2017","journal-title":"Afr. J. Urol"},{"key":"R8-87-20260114","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1037\/a0024405","article-title":"Non-suicidal self-injury (NSSI) disorder: a preliminary study","volume":"3","author":"Selby","year":"2012","journal-title":"Personal. Disord. Theory Res. Treat"},{"key":"R9-87-20260114","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1055\/s-0036-1597567","article-title":"Penile replantation: a retrospective analysis of outcomes and complications","volume":"33","author":"Morrison","year":"2016","journal-title":"J. Reconstr. Microsurg"},{"key":"R10-87-20260114","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1097\/00005373-199609000-00023","article-title":"Organ injury scaling VII","volume":"41","author":"Moore","year":"1996","journal-title":"J. Trauma Inj. Infect. Crit. Care"},{"key":"R11-87-20260114","first-page":"77","article-title":"Penile replantation after five hours of warm ischemia","volume":"3","author":"Facio","year":"2015","journal-title":"Urol. Case Rep"},{"key":"R14-87-20260114","first-page":"1582047","article-title":"Unusual mechanisms of penile amputation","volume":"2019","author":"Fazi","year":"2019","journal-title":"Case Rep. Urol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220310312?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220310312?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.10.141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:13:10Z","timestamp":1768396390000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.10.141"}},"subtitle":["A case report with a successful macroscopic reconstruction"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.10.141","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}