- A schizophrenic man in Kenya cut off his penis with a kitchen knife
- Doctors could not reattach the penis because it was not preserved properly
- He operated on the wound to prevent it from getting infected and to heal well
A schizophrenic man who was not taking his medication cut off his penis with a kitchen knife.
A 48-year-old unidentified man from Kenya has been left with a stump after a psychotic episode.
The doctors who treated him said that he had gone to the hospital only after being isolated for 16 hours.
He took his severed penis with him. Medics did not clarify whether it was because they regretted their behavior and hoped it could be remedied.
Medics said they ‘attributed their action to perennial problems with spouses, most of which surrounded their reproductive organs’.
No other details were given in the case report published in a medical journal.
Doctors hoped to reattach his penis, but had to abandon their plans because it was not preserved properly and was separated for too long. His testicles were intact.
A schizophrenic man, 48, who cut his penis with a kitchen knife leaving a stump, blamed marriage problems
If left for too long the wound can become infected and she may need to have a urostomy bag due to permanent damage to her urethra.
Anemia or sepsis – a fatal immune response to infection – can even lead to death in the worst case. Doctors did not say how much blood the man had lost nor how he stopped any bleeding.
The patient was not following his medication, wrote surgeons at Egerton University in Njoro. Urology Case Report.
Doctors took her in for surgery to clean out her wound and gave her general anesthetic to flush out so they could start working on the stump.
40-year-old British man becomes world’s first patient to have his penis erect
Doctors in the UK reported the first known case of erectile rupture of the penis during sex in a case report in June.
A member of a 40-year-old man opened his ‘partner’s perineum’, or the area between the anus and genitals, before a 3-cm tear at its base.
Doctors didn’t say what position he was in, but penis fractures most commonly begin in the ‘doggy style’ and ‘man on top’ positions, they wrote.
There are no bones in the penis, but rupture usually occurs when a man’s penis slips from his partner and twists suddenly, which can cause painful swelling.
Medics treating the patient, believed to be from York, revealed the story in a case report british medical journal.
He said that all previously recorded penis fractures were horizontal.
But in this case it splits off the tunica albuginea – the protective layer around the erectile tissue that pumps blood to this area.
The doctor said no ‘popping’ sound was heard when braking, which occurs when fractures are horizontal.
His damaged skin and remaining penile tissue were removed.
Dr Rono Kipkemoi of Egerton University in Eldoret, Kenya, and his colleagues said the man was “recovering well” after the operation.
He wrote: ‘Self-inflicted penile amputation is an unusual form of physical self-harm resulting from a psychological anomaly.
‘This condition not only presents a surgical emergency but also has the potential to cause subsequent challenges in self-care and sexual function thereby exacerbating the patient’s psychological distress.’
Injuries like these are incredibly rare. Patients who commit such acts usually suffer from mental disorders, hallucinations or drug abuse.
In cases where a man attempts to cut off his penis with the intention of committing suicide, this is known as falsecide.
Doctors are able to reattach the penis if they are well placed, present quickly and the wound is not too contaminated or sore.
People who have had successful reattachment surgery are able to urinate normally and in some cases get an erection afterwards.
Dr Fardod O’Kelly, a urological surgeon at Beacon Hospital in Dublin, told MailOnline that complete removal of the penis can be extremely dangerous due to the large amount of blood in the organ.
He said: ‘It is unusual to see more than one of these cases every two to three years.
‘They are usually quite sad cases, as patients either have a psychiatric background – such as those with Klingser syndrome – or have taken the notion of turning to drugs such as LSD.
‘The adult male penis has a very good blood supply, and the two anatomical bodies that sit atop the spongy part of the penis, through which the urethra runs, fill completely with blood during an erection.
‘Dangers from self-mutilation include significant blood loss, localized infection, sepsis, inability to urinate, inability to have intercourse, and the psychological sequelae that apparently accompany it.
‘In general, the longer the penis is amputated, the more irreversible damage can be done.
‘In many of these cases it is often several hours until the patient sees a urological service, at which point the penis may not be in a position to be reconstructed and instead the area is reshaped, safe. is made, and is placed behind the scrotum for the urethra. .
‘Psychiatric care is important here.’