Male genital self-amputation in the Middle East. A simple repair by anterior urethrostomy.

Genital self-mutilation, whether partial or complete, is a rare condition, which usually occurs in psychotic patients and occasionally has a religious background. The initial management of complete genital self-mutilation usually involves a formation of perineal urethrostomy or a more complex procedure to form a short penile stump. Here, we present a case of complete genital self-mutilation in a psychotic male who was managed with simple urethral spatulation to form an anterior urethrostomy.