Penile skin necrosis - complication following selfcircumcision.

Circumcision is one of the commonest operations performed throughout the world for ritual, traditional or medical reasons. Self-circumcision may lead to disastrous complications. There have been reports of the complications following use of the constricting devices for improved sexual performance and for auto-erotic intentions, but cases of self-circumcision leading to complications such as necrosis of the penile skin and strangulation of the penis are very rarely reported. This case represents penile skin necrosis in a 55-year-old white English man following an attempt at self-circumcision with a medically unapproved plastic device available in the market. He recovered after surgical debridement and treatment with antibiotics.