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CASE REPORT
Year : 2013  |  Volume : 5  |  Issue : 4  |  Page : 305-308

Genital self-amputation or the Klingsor syndrome: Successful non-microsurgical penile replantation


Department of Urology, Military Hospital Avicenne, Marrakech, Morocco

Correspondence Address:
Y El harrech
Service d'urologie, Hôpital Militaire Avicenne, Marrakech
Morocco
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DOI: 10.4103/0974-7796.120309

PMID: 24311919

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Self-mutilations of the external genitals in psychiatric patients also known as Klingsor syndrome is a rare urologic trauma. Men with religious conflicts, low self-esteem, unresolved transsexual issues and feelings of guilt are the most vulnerable. This condition requires immediate surgical intervention. Currently replantation involves meticulous microsurgery and has become the primary method for managing these patients. In this paper, we report a case of self amputation of penis in a patient with a psychiatric history significant for schizopfrenia. Because of the unavailability of a microscope in our department, a non-microsurgical replantation without microscopic magnification was attempted. After surgery, normal appearance and function including a good normal voiding, sensation, and erections were observed.


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