Genital self-mutilation in a non-psychotic male to get rid of excessive sexual drive: A case report

Genital self-mutilation (GSM) is a rare phenomenon. In the majority of cases, GSM is secondary to psychotic illness. Among the nonpsychotics, the motives behind GSM are varied. We report a rare case in which a non-psychotic, non-paraphilic patient suffering from excessive sexual drive carried out GSM to curb hypersexuality. Aetiological factors behind GSM are discussed. This case report emphasises that excessive sexual drive may lead to distress and GSM. Effective management of excessive sexual drive and active inquiry into any intentions of GSM in such patients may be helpful in preventing GSM.

[1]  K. Furmaga,et al.  High-Dose Oral Medroxyprogesterone for Inappropriate Hypersexuality in Elderly Men with Dementia: A Case Series , 2013, The Annals of pharmacotherapy.

[2]  E. Ozan,et al.  Male genital self-mutilation as a psychotic solution. , 2010, The Israel journal of psychiatry and related sciences.

[3]  S. C. Bhargava,et al.  KLINGSOR SYNDROME: A CASE REPORT , 2001, Indian journal of psychiatry.

[4]  N. Kar,et al.  GENITAL SELF AMPUTATION FOR URINARY SYMPTOM RELIEF OR SUICIDE? , 2001, Indian journal of psychiatry.

[5]  J. Mcaninch,et al.  Genital self-mutilation. , 1993, The Journal of urology.

[6]  E. Emory,et al.  Depo-provera treatment for sex-offending behavior: An evaluation of outcome Walter J. Meyer, III, Collier Cole, Evangeline Emory University of Texas Medical Branch, Galveston, TX 77555-0429 , 1992, Biological Psychiatry.

[7]  W. Gattaz,et al.  Psychiatric aspects of male genital self-mutilation. , 1991, Psychopathology.

[8]  A. Blaszczynski,et al.  Treatment of sex offenders with imaginal desensitization and/or medroxyprogesterone , 1988, Acta psychiatrica Scandinavica.

[9]  M. Feldman.  More on female genital self-mutilation. , 1988, Psychosomatics.

[10]  D. Soderdahl,et al.  Nonpsychotic genital self-mutilation. , 1985, Urology.

[11]  P. Gagné.  Treatment of sex offenders with medroxyprogesterone acetate. , 1981, The American journal of psychiatry.

[12]  N. Kalin.  Genital and abdominal self-surgery. A case report. , 1979, JAMA.

[13]  J. E. Groves,et al.  Male genital self-mutilation. , 1979, Archives of general psychiatry.