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Self-inflicted penile and testicular amputation: A very rare case report and treatment dilemma in the absence of microsurgical service.
Int J Surg Case Rep
September 2024
Department of Psychiatry, College of Health and Medical Science Dilla University Dilla, Ethiopia.
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.
Penile Prosthetic Pump Reservoir Mimicking a Cecal Subepithelial Mass.
ACG Case Rep J
July 2024
Section of Digestive Diseases, Department of Medicine, Yale University School of Medicine, New Haven, CT.
Intestinal subepithelial lesions are often encountered during endoscopy. Etiologies can include lesions intrinsic or extrinsic to the gastrointestinal wall. They can present a diagnostic dilemma as simple mucosal biopsies are often nondiagnostic.
View Article and Find Full Text PDFAphallia - congenital absence of the penis: a systematic review.
BMC Urol
March 2024
Clinical Epidemiology and Biostatistic Unit (CEBU) Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Jl. Medika, Yogyakarta, 55281, Indonesia.
Background: Aphallia is a rare congenital anomaly often associated with other urogenital anomalies. The management of aphallia cases for both the immediate and long-term treatment of patients with aphallia pose a major dilemma. Patients are at risk for psychosocial and psychosexual challenges throughout life.
View Article and Find Full Text PDFNeonatal Male Circumcision: Clearly Beneficial for Public Health or an Ethical Dilemma? A Systematic Review.
Cureus
February 2024
Urology, University of Washington, Seattle, USA.
Article Synopsis
- A systematic review of neonatal male circumcision (NMC) analyzed 61 articles and found it to be a low-risk procedure with significant immediate and long-term health benefits, rarely causing adverse effects.
- The review concludes that discouraging or denying NMC is unethical under the United Nations Convention on the Rights of the Child and is legally supported by case law.
- It emphasizes that reducing NMC rates in the U.S. could lead to an increase in adverse medical conditions, making NMC an important public health intervention.
Postradical cystectomy delayed urethral recurrence: a rare presentation posing diagnostic dilemma.
BMJ Case Rep
December 2023
Urology, All india Institute of Medical Sciences, Jodhpur, Rajasthan, India.
The incidence of urethral recurrence after radical cystectomy is 1% to 8%, with most cases occurring within the first 2 years of surgery. Prophylactic urethrectomy is rarely performed nowadays due to no known survival benefit and increased morbidity due to the procedure. However, we encountered a rare case of delayed urethral recurrence presenting as recurrent urethral collection 4 years after radical cystectomy with ileal conduit diversion, posing a diagnostic dilemma.
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