{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T23:12:09Z","timestamp":1780528329409,"version":"3.54.1"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,12,10]],"date-time":"2022-12-10T00:00:00Z","timestamp":1670630400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Genital self-mutilation (GSM) is a rare phenomenon that can occur in patients with severe mental health illness. This case report highlights a rare case of self-inflicted bilateral testicular amputation and partial penile amputation in a patient who is a transwoman with a psychiatric history. The patient initially presented to urology in extremis with bilateral testicular amputation. The patient was resuscitated but required emergency surgery in the form of bilateral inguinal approach to ligate the cord and control haemostasis. The testes were not re-implanted as the patient refused and, after psychiatric discussion, was deemed to have capacity. She then re-presented within a week with self-inflicted partial amputation of penis. On both admissions, the patient had psychiatric evaluation but she was sectioned under the mental health act the second time. This case demonstrates how one can control haemostasis in the emergency scenarios of GSM and emphasizes the importance of psychiatric illness and evaluation in patients presenting with GSM.<\/jats:p>","DOI":"10.1093\/jscr\/rjac569","type":"journal-article","created":{"date-parts":[[2022,12,10]],"date-time":"2022-12-10T21:33:11Z","timestamp":1670707991000},"source":"Crossref","is-referenced-by-count":3,"title":["Genital self-amputation\u2014its psychological urge"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5869-0249","authenticated-orcid":false,"given":"Srinath","family":"Ravichandran","sequence":"first","affiliation":[{"name":"Stepping Hill Hospital Department of General Surgery, , Stockport SK2 7JE , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Mark","family":"Smith","sequence":"additional","affiliation":[{"name":"Stepping Hill Hospital Department of Urology, , Stockport SK2 7JE , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Tang","sequence":"additional","affiliation":[{"name":"Stepping Hill Hospital Department of Urology, , Stockport SK2 7JE , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,12,9]]},"reference":[{"key":"2022121021330780700_ref1","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1111\/j.1442-2042.2006.01548.x","article-title":"Genital self-mutilation","volume":"13","author":"Stunell","year":"2006","journal-title":"Int J Urol"},{"key":"2022121021330780700_ref2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1046\/j.1464-410x.2000.00438.x","article-title":"Genital self-mutation: There is no method in this madness","volume":"85","author":"Eke","year":"2000","journal-title":"BJU Int"},{"key":"2022121021330780700_ref3","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1192\/bjp.149.6.778","article-title":"Severe self-mutilation among Kenyan psychotics","volume":"149","author":"Muluka","year":"1986","journal-title":"Br J Psychiatry"},{"key":"2022121021330780700_ref4","first-page":"51","article-title":"Case report: self-inflicted amputation of the penis in two Nigerian males","volume":"3","author":"Anumonye","year":"1973","journal-title":"Nigerian Med J"},{"key":"2022121021330780700_ref5","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1111\/bju.14163","article-title":"British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies \u2013 testicular trauma","volume":"121","author":"Lucky","year":"2018","journal-title":"BJU Int"},{"key":"2022121021330780700_ref9","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1192\/bjp.150.3.407a","article-title":"Ames Autocastration and biblical delusions in schizophrenia","volume":"150","author":"Waugh","year":"1987","journal-title":"Br J Psychiatry"},{"key":"2022121021330780700_ref7","first-page":"198","article-title":"Successful replantation of amputated penile shaft following industrial injury","volume":"1","author":"Salehipour","year":"2010","journal-title":"Int J Occup Environ Med"},{"key":"2022121021330780700_ref8","doi-asserted-by":"crossref","first-page":"566","DOI":"10.3109\/00048679009062914","article-title":"Genital self-amputation and the Klingsor syndrome","volume":"24","author":"Schweitzer","year":"1990","journal-title":"Aust N Z J Psychiatry"},{"key":"2022121021330780700_ref6","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1001\/archpsyc.1979.01780040083009","article-title":"Male genital self-mutilation","volume":"36","author":"Greilsheimer","year":"1979","journal-title":"Arch Gen Psychiatry"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/12\/rjac569\/47764789\/rjac569.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2022\/12\/rjac569\/47764789\/rjac569.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,10]],"date-time":"2022-12-10T21:33:16Z","timestamp":1670707996000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjac569\/6885791"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjac569","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,12]]},"published":{"date-parts":[[2022,12,1]]},"article-number":"rjac569"}}