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#1
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01-10-2013, 08:52 PM
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 ♚ Legacy Gold Member ♚ Poster Rank:35 Female Join Date: Nov 2008 Posts: 43,321
Contributions: 233
43,321Posts 76,140Thanked 2,282Quoted 95Mentioned 233Contrib. |
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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:2291 Join Date: Jul 2012 Posts: 202 202Posts 665Thanked 36Quoted 0Mentioned 0Contrib. |
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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:549 Male Join Date: Jul 2009 Posts: 1,843
Contributions: 12
1,843Posts 1,909Thanked 107Quoted 3Mentioned 12Contrib. |
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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:1852 Male Join Date: Oct 2011 Posts: 279 279Posts 220Thanked 8Quoted 0Mentioned 0Contrib. |
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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:588 Male Join Date: Aug 2009 Posts: 1,625
Contributions: 1
1,625Posts 3,222Thanked 177Quoted 0Mentioned 1Contrib. |
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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:1459 Female Join Date: May 2010 Posts: 399
Contributions: 1
399Posts 628Thanked 50Quoted 0Mentioned 1Contrib. |
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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:805 male Join Date: May 2011 Posts: 977 977Posts 641Thanked 4Quoted 1Mentioned 0Contrib. |
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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.  |
