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Penile subincision is a form of genital modification or mutilation consisting of a urethrotomyin which the underside of the penis is incised and the urethra slit open lengthwise, from the urethral opening meatus toward the base. The slit can be of varying lengths. Subincision was traditionally performed around the world, notably in Australiabut also in AfricaSouth America and the Polynesian and Melanesian cultures of the Pacificoften as a coming of age ritual.

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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. The genital mutilation of John Bobbitt by his wife Lorena was recently sensationalized in the media [ 1 ] and human biting of the penis during fellatio has been recorded [ 2 ].

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We present the case of a year-old male who presented to the Emergency Department having amputated his penis as a result of auditory hallucinations triggered by cannabis use. A successful microsurgical technique involving anastomosing the individual structures of the penile shaft enabled a successful cosmetic and functional outcome including restoration of erectile function. Genital self mutilation GSM is rare yet reported cases appear to have increased in recent years [ 1 ].

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Male genital self-mutilation GSM is a rare but serious phenomenon. Some of the risk factors for this act are the presence of religious delusions, command hallucinations, low self-esteem, and feelings of guilt associated with sexual offences. Other risk factors include failures in the male role, problems in the early developmental period, such as experiencing difficulties in male identification and persistence of incestuous desires, depression, and having a history of GSM.

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Genital self-mutilation is listed as a symptom of borderline personality disorder. The type of injury varies from simple skin laceration to total amputation of the penis and testicles. These injuries are urological and surgical emergencies.

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Penis splitting, known clinically as penile bisection or genital bifurcation, is a type of body modification. Traditional bisection involves opening the head, or glansof the penis. It may be split once down the middle or along each side of the shaft.

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The terms genital modification and genital mutilation can refer to permanent or temporary changes to human sex organs. Some forms of genital alteration are performed on adults with their informed consent at their own behest, usually for aesthetic reasons or to enhance stimulation. However, other forms are performed on people who do not give informed consent, including infants or children.

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Although human depictions are, generally speaking, seldom seen in prehistory before written languagefemale genital representations are relatively common motifs in prehistoric times all over the world, often preserved on cave walls and rock shelters. Not often seen or depicted, male genitals were also represented on cave wall art, both as isolated forms or as complete human male images, commonly known as ithyphallics. Moreover, female and male genitalia were sculptured on pieces obtained from excavations of archeological sites. These vulvar or phallic portable elements were etched or carved in stone, bone or antler.

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