Penile Self-amputation by a Non-psychotic Young Male

Genital self-mutilation in men is relatively rare and usually manifests in either psychotic disorders or gender-identity disorder (GID). We report a case of penile self-amputation in a nonpsychotic, non-GID young male,who presented in emergency trauma ward,and following acute management of this catastrophic event,subsequently referred for psychiatric evaluation. The case was evaluated and possible differential diagnoses were discussed. We also reviewed the possible etiologies of this phenomenon and assessed the pathoplastic effects of culture and up-bringing.