Self-penile amputation: A case of Klingsor Syndrome

Klingsor Syndrome is an infrequent Surgical and Psychiatric emergency. We present such a case of self-penile amputation with delayed presentation precluding re-plantation. A 48 year-old man on follow-up for Schizophrenia presented 16 hours after peripubic self-penile amputation. Patient was managed...

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Detalles Bibliográficos
Autores principales: Kipkemoi, Rono D., Abila, Akello W., Nditika, Mburu E., Lumadede, Mugalo E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8058525/
https://www.ncbi.nlm.nih.gov/pubmed/33898265
http://dx.doi.org/10.1016/j.eucr.2021.101667
Descripción
Sumario:Klingsor Syndrome is an infrequent Surgical and Psychiatric emergency. We present such a case of self-penile amputation with delayed presentation precluding re-plantation. A 48 year-old man on follow-up for Schizophrenia presented 16 hours after peripubic self-penile amputation. Patient was managed by stump-plasty with an option for subsequent perineal urethrostomy. Anatomically, there are three levels of penile amputation: peri-pubic like in our case, proximal shaft and glans. Surgical options are re-plantation, stump-plasty and total penile reconstruction. Complications following re-plantation include urethral stricture, urethral fistula, and diminished sexual function. Concomitant Psychiatric care is paramount.

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