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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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
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author Kipkemoi, Rono D.
Abila, Akello W.
Nditika, Mburu E.
Lumadede, Mugalo E.
author_facet Kipkemoi, Rono D.
Abila, Akello W.
Nditika, Mburu E.
Lumadede, Mugalo E.
author_sort Kipkemoi, Rono D.
collection PubMed
description 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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spelling pubmed-80585252021-04-23 Self-penile amputation: A case of Klingsor Syndrome Kipkemoi, Rono D. Abila, Akello W. Nditika, Mburu E. Lumadede, Mugalo E. Urol Case Rep Trauma and Reconstruction 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. Elsevier 2021-03-29 /pmc/articles/PMC8058525/ /pubmed/33898265 http://dx.doi.org/10.1016/j.eucr.2021.101667 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Trauma and Reconstruction
Kipkemoi, Rono D.
Abila, Akello W.
Nditika, Mburu E.
Lumadede, Mugalo E.
Self-penile amputation: A case of Klingsor Syndrome
title Self-penile amputation: A case of Klingsor Syndrome
title_full Self-penile amputation: A case of Klingsor Syndrome
title_fullStr Self-penile amputation: A case of Klingsor Syndrome
title_full_unstemmed Self-penile amputation: A case of Klingsor Syndrome
title_short Self-penile amputation: A case of Klingsor Syndrome
title_sort self-penile amputation: a case of klingsor syndrome
topic Trauma and Reconstruction
url 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
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