Self-inflicted penile and testicular amputation: A very rare case report and treatment dilemma in the absence of microsurgical service.

Introduction And Importance: Genital self-mutilation is a rare urologic surgical emergency that is usually encountered in patients with underlying psychiatric illness. Because of shortage of published data and variance in management schemes worldwide, these conditions can present a significant management dilemma.

Case Presentation: In this case report we present this rare phenomenon, where a known schizophrenic patient presented after he amputated both of his testes and penis under the influence of command hallucination.