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Case Reports
. 2021 Apr 7:38:334.
doi: 10.11604/pamj.2021.38.334.28897. eCollection 2021.

Rudy and Borden technique for penile self-mutilation in Klingsor syndrome: a case report

Imad Boualaoui  1 , Hicham El Bote  1 , Omar Bellouki  1 , Ahmed Ibrahimi  1 , Hachem El Sayegh  1 , Yassine Nouini  1
Affiliations
Case Reports

Rudy and Borden technique for penile self-mutilation in Klingsor syndrome: a case report

Imad Boualaoui et al. Pan Afr Med J. .

Abstract

Penile self-mutilation is a challenging situation that often jeopardizes sexual and voiding functions. Surgical treatment is currently based on penile replantation, nevertheless its requirements of time, conservation, and quality of amputated phallus and microsurgical expertise are not constantly available. Here, we present a case of penile self-inflicted amputation in a 28-years-old patient suffering from a psychotic disorder, who did not preserve the amputated phallus. In the first clinical examination, we have attested a hemorrhagic total penile section, 6cm from the penoscrotal angle. We performed immediate surgical management. Rudy and Borden technique is a reconstructive surgery procedure with interesting functional results, by performing a dorsal vascularized split-thickness skin flap to cover the penile shaft. The aim of this technique is to avoid perineostomy which compounds significantly the quality of life.

Keywords: Genitalia; case report; psychotic disorders; self-mutilation; surgical flaps.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
hemorrhagic total penile section, 6cm from the penoscrotal angle
Figure 2
Figure 2
A) a dorsal vascularized split-thickness skin flap covered the penile shaft; B) the urethrocutaneous suture was done by a 5-0 polydioxanon thread, and the urethral catheter was kept for two weeks
Figure 3
Figure 3
the result after a year of follow-up
See this image and copyright information in PMC

References

    1. Veeder TA, Leo RJ. Male genital self-mutilation: a systematic review of psychiatric disorders and psychosocial factors. Gen Hosp Psychiatry. 2017 Jan-Feb;44:43–50. - PubMed
    1. Raheem OA, Mirheydar HS, Patel ND, Patel SH, Suliman A, Buckley JC. Surgical management of traumatic penile amputation: a case report and review of the world literature. Sex Med. 2015 Mar;3(1):49–53. - PMC - PubMed
    1. Bouchot O, Rigaud J. Tumeurs du pénis: techniques et indications. Annales d´Urologie. 2004;38(6):285–97. - PubMed
    1. Rudy DC, Borden TH. Partial and total penile amputation. Genitourinary cancer surgery Philadelphia, WB Saunders. 1982:310–316.
    1. Menakuru S, Ali MI, Karasala K. Genitalia self-mutilation commanded by hallucinations: a psychointensive case of Klingsor syndrome. BMJ Case Rep. 2018 Sep 18;2018:bcr2018226838. - PMC - PubMed

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