ABSTRACT
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
Subject(s)
Humans , Male , Penis , Genitalia, Male , Replantation , Self MutilationABSTRACT
To evaluate the clinical, radiological and surgical features of retrovesical hydatid cysts and to discuss their etiology, and pathogenesis. Between 1988 and 2001, 8 patients with retrovesical hydatid cyst were hospitalized. and operated at the Urology Department of the Military university hospital Mohamed V Rabat, Morocco. The mean age of the patients was 44 years. Bladder irritation was the most frequent presenting symptom. Hydaturia was found in one case only. Cysto-pericystectomy was performed in all patients. The post-operative course was uneventful and only one patient developed urinary fistula which was repaired successfully Retrovesical hydatid cysts are rare and treatment is mainly surgical