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Year : 2016  |  Volume : 4  |  Issue : 1  |  Page : 78-81

Complete self-mutilation of male genitals as a severe form of psychiatric manifestation of HIV: A case report with review of literature

1 Department of Surgery, ESIC Model Hospital, Hyderabad, Telangana, India
2 Department of Surgery, Jawaharlal Nehru Hospital and Research Centre, Bhilai, Chhattisgarh, India

Correspondence Address:
Sriharsha Bokka
Department of Surgery, ESIC Model Hospital, Hyderabad, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-4848.183365

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Genital self-mutilation (GSM) is a rare event that is commonly associated with psychotic disorders. However, such injuries have also been reported in nonpsychotic patients as a result of either bizarre autoerotic acts and attempts at crude sex-change operation by transsexuals or secondary complex religious beliefs and delusions regarding sexual guilt. We report a case of GSM in a human immunodeficiency virus (HIV)-positive individual who not only severed his penis, scrotum, and testes completely as a result of internal conflict and frustration but also refused any further treatment toward reconstruction owing to his guilt.

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