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#1
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01-10-2013, 08:52 PM
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 ♚ Legacy Gold Member ♚ Poster Rank:34 Female Join Date: Nov 2008 Posts: 43,403
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Self-amputation Of Penis In A Schizophrenic Patient
Amputation of the penis is a rare condition reported from various parts of the world as isolated cases in a small group of patients; the common etiology is self-mutilating sharp amputation or an avulsion or crush injury in an industrial accident. A complete reconstruction of all penile structures should be attempted in one stage which provides the best chance for full rehabilitation of the patient. We report here a single case of total amputation of the penis in an acute paranoid schizophrenic patient. The penis was successfully reattached using a microsurgical technique. After surgery, near-normal appearance and function including a good urine flow and absence of urethral stricture, capabilities of erection and near normal sensitivity were observed. We report the case of a 25-year-old man with acute paranoid schizophrenia who presented in our emergency with an alleged history of cutting his penis with a shaving blade 2 cm distal from the mons pubis. Immediately after the self-mutilation the amputated penis was kept in a clean plastic bag by the patient's brother. The patient presented at our institution four hours later. Bleeding from the proximal penile stump was stopped by a tourniquet. Figure 1 :Self amputated distal part of penis  Figure 2 :Proximal penile stump  Figure 3 :Passage of Foley's Catheter through urethral meatus of amputated penis into transected urethral opening in the proximal stump  Figure 4 :Anastomosis of corpora cavernosa of proximal and distal penile stump  Figure 5 :Anastomosis of dorsal artery and dorsal vein of penis  Figure 6 :Muscular and subcutaneous repair  Figure 7 :Final repair, posterior aspect  Figure 8 :Final repair, anterior aspect  Figure 9 :At follow-up of 3 months  Figure 10 :At one-year follow-up  |
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#2
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01-10-2013, 10:03 PM
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 My Rank: LANCE CORPORAL Poster Rank:2287 Join Date: Jul 2012 Posts: 202 Mentioned: 0 Post(s) Quoted: 36 Post(s)
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Re: Self-amputation Of Penis In A Schizophrenic Patient
The top pic looks like a shrunken head ( pun intended). Complete with hair and all!
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#4
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01-10-2013, 11:54 PM
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 Yaut'ja Elite Poster Rank:542 Male Join Date: Jul 2009 Posts: 1,846
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Re: Self-amputation Of Penis In A Schizophrenic Patient
Those surgeons deserve every cent they make
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#5
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01-11-2013, 12:21 AM
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 My Rank: LANCE CORPORAL Poster Rank:1834 Male Join Date: Oct 2011 Posts: 280 Mentioned: 0 Post(s) Quoted: 8 Post(s)
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Re: Self-amputation Of Penis In A Schizophrenic Patient
Well I know where im going if my penis gets chopped off.
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#6
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01-11-2013, 01:09 AM
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 My Rank: MASTER SERGEANT Poster Rank:581 Male Join Date: Aug 2009 Posts: 1,632
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Re: Self-amputation Of Penis In A Schizophrenic Patient
He beheaded his own cock  |
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#7
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01-11-2013, 02:00 AM
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 ★ Legacy Member ★ Poster Rank:1447 Female Join Date: May 2010 Posts: 401
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Re: Self-amputation Of Penis In A Schizophrenic Patient
Holy shit...he is so lucky it still functions normally for the most part. Man...though part of me wonders what the point of the time and money for this was, if he would just possibly cut it off again. =/
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#10
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01-11-2013, 05:06 AM
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 My Rank: STAFF SERGEANT Poster Rank:801 male Join Date: May 2011 Posts: 977 Mentioned: 1 Post(s) Quoted: 4 Post(s)
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Re: Self-amputation Of Penis In A Schizophrenic Patient
If my dick looked as ugly as that I'd be trying to lop it off as well.  |
