Annals of African Medicine
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Year : 2010  |  Volume : 9  |  Issue : 1  |  Page : 31-34

Genital self-mutilation

1 Division of Urology, University of Ilorin Teaching Hospital, Ilorin, Nigeria
2 Department of Behavioural Sciences, University of Ilorin Teaching Hospital, Ilorin, Nigeria
3 Vascular Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Correspondence Address:
A A Ajape
P.O. Box 4850, Ilorin
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1596-3519.62622

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We present a case report of a 22-year-old Nigerian student who presented to the accident and emergency unit of a Nigerian Teaching Hospital with a history of self-inflicted genital injury following a suicide attempt. He had background history of predisposition to depressive illness, a current diagnosis of a major depressive disorder, and had had two attempted suicidal episodes in the last 3 months prior to this event. The clinical finding shows a patient with sad affect, feeling of hopelessness, and worthlessness; however, the vital signs remained fairly stable. At examination under anesthesia, the testes were exposed and the right already self-castrated. The penis was degloved to the level of the Buck's fascia with intact corpora cavernosa and urethra. He had surgical excision of the hanging self-castrated right testis with debridement and primary closure of the genital laceration. He was promptly reviewed by the psychiatrists who comanaged appropriately.

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