Self-penile glans amputation: a report of two cases.

Case: Self-penile amputation, especially at the glans, has rarely been reported. Most reported cases of self-amputation were performed at the proximal or peripubic area, and there only one case of self-amputation at the glans has been reported in Japan. We report two cases of self-penile amputation at the glans. Case 1: A 31-year-old man with no psychiatric disease completely amputated his penis at the glans. He underwent a stump plasty under spinal anesthesia. Case 2: A 46-year-old man with schizophrenia amputated his penis at the glans. Surgery and the post-surgical course were almost the same as described in Case 1.

Outcome: Both patients experienced few functional problems except for slight urinary stream disorders.

Conclusion: A stump plasty is a good procedure to treat self-penile amputation at the glans. It is simple, quick, does not require special technical skills, and is not associated with serious complications.