Abstract

To inflict injury upon one’s own genitals is not easy and most of the times it is associated with psychotic disorders. In the absence of any psychiatric disorder the reason could be religious, cultural or suffering from gender identity disorder. Here I present case of married male, aged 35 years suffering from gender identity disorder who has strong belief that it would have been much better for him if he was female. He has dislike for his own genitalia. Sexual conflict with his wife led to genital mutilation by him to remove testes. Great majority of cases does not seek any medical help being from rural background, illiterate and unavailability of medical access at the local places. Psychological counselling and medical assistance at appropriate time would have helped him

• 1.   DiMaio VJ, DiMaio D. Forensic Pathology. 2nd ed. Boca Raton: CRC Press; 2001. p. 202.
• 2.   Chauhan VS, Yadav P, Goyal S, Khan A. Two cases of male genital self-mutilation. Industrial Psychiatry Journal. 2016;25(2):228–231.
• 3.   Greilsheimer H, Groves JE. Male genital self-mutilation. Archives of General Psychiatry. 1979;36(4):441–447.
• 4.   Blacker KH, Wong N. Four cases of autocastration. Archives of General Psychiatry. 1963;8:169–176.
• 5.   Fisch RZ. Genital self-mutilation in males: psychodynamic anatomy of psychosis. American Journal of Psychotherapy. 1987;41(3):453–458. (Note: Input stated Vol 61, but 1987 corresponds to Vol 41).
• 6.   Lennon GG. Genital self mutilation in acute mania. Medical Journal of Australia. 1963;1:79–81.
• 7.   Krasucki C, Kemp R, David A. A case study of female genital self-mutilation in schizophrenia. British Journal of Medical Psychology. 1995;68(Pt 2):179–186.
• 8.   Thompson JN, Abraham TK. Male genital self mutilation after paternal death. British Medical Journal (Clinical Research Ed.). 1983;287(6394):727–728.
• 9.   Gleeson MJ, Connolly J, Grainger R. Self-castration as treatment for alopecia. British Journal of Urology. 1993;71(5):614–615.
• 10.   MacLean G, Robertson BM. Self-enucleation and psychosis. Archives of General Psychiatry. 1976;33(2):242–249.
• 11.   Conacher GN, Westwood GH. Autocastration in Ontario federal penitentiary inmates. British Journal of Psychiatry. 1987;150:565–566.
• 12.   Rana A, Johnson D. Sequential self castration and amputation of the penis. British Journal of Urology. 1993;71(6):750.
• 13.   Conacher GN, Villeneuve D, Kane G. Penile self mutilation presenting as rational attempted suicide. Canadian Journal of Psychiatry. 1991;36(9):682–685.
• 14.   Aboseif S, Gomez R, McAninch JW. Genital self-mutilation. The Journal of Urology. 1993;150(4):1143–1146.
• 15.   Koops E, Püschel K. [Self-mutilation and autophagia]. Archiv für Kriminologie. 1990;186(1-2):29–36. German.
• 16.   Eke N. Genital self-mutilation: there is no method in this madness. BJU International. 2000;85(3):295–298.
• 17.   Knight B. Forensic Pathology. 2nd ed. London: Arnold; 1996. p. 217–218.