EPA-1568 - Genital mutilations in psychotic patients: two case reports

Abstract

The first patient was a 23 years old male and brought by his brother to our psychiatry hospital from urology clinic after the first aid due to removing his right testicles with a knife without any anaesthetic drog. The patient inserted three cherry seeds inside the injury and sewed up the injury and then he ate the removed testicle piece. He vomitted the eaten material when his brother saw what was happening. His life history revealed that the psychiatric disorder began insidiously in his late adolescence, he had taken no treatment up to then, and stayed in prison for three years due to injuring his chief with a knife due to persecutive delusions because his chief was giving harm to him. At admission to our hospital he was diagnosed paranoid schizophrenia. Second case is a 43 year old man, admitted to our hospital with symptoms of anxiety and depression. He had mutilated his penis due to auditory hallusinations and made a fire in his house and brought to emergency with comatous state. Transfusion was necessary for severe blood loss. After discharge from psychiatric hospital he continued drink alcohol heavily. He killed his wife due to auditory hallusinations. He was treated with diagnosis of organic mental disorder due to alcohol abuse. Genital mutilations are usually presented as case reports and seen rarely in young male patients and occur either in psychotic patients especially among schizophrenics or in individuals with impaired ego wholeness as an implication of lower self esteem or guilty feelings.