自我阴茎切断术：一例克林索综合征病例。
Self-penile amputation: A case of Klingsor Syndrome.
作者信息
Kipkemoi Rono D, Abila Akello W, Nditika Mburu E, Lumadede Mugalo E
机构信息
Egerton University, Department of Medical Physiology, Kenya.
Moi University, Department of Surgery and Anesthesiology, Kenya.
出版信息
Urol Case Rep. 2021 Mar 29;38:101667. doi: 10.1016/j.eucr.2021.101667. eCollection 2021 Sep.
Klingsor Syndrome is an infrequent Surgical and Psychiatric emergency. We present such a case of self-penile amputation with delayed presentation precluding re-plantation. A 48 year-old man on follow-up for Schizophrenia presented 16 hours after peripubic self-penile amputation. Patient was managed by stump-plasty with an option for subsequent perineal urethrostomy. Anatomically, there are three levels of penile amputation: peri-pubic like in our case, proximal shaft and glans. Surgical options are re-plantation, stump-plasty and total penile reconstruction. Complications following re-plantation include urethral stricture, urethral fistula, and diminished sexual function. Concomitant Psychiatric care is paramount.
克林索综合征是一种罕见的外科和精神科急症。我们报告了这样一例自行阴茎切断且就诊延迟以致无法再植的病例。一名48岁因精神分裂症接受随访的男性，在耻骨弓下自行阴茎切断16小时后前来就诊。患者接受了残端成形术，并可选择后续行会阴尿道造口术。从解剖学角度来看，阴茎切断有三个层面：如我们病例中的耻骨弓下层面、阴茎近端和龟头。手术选择包括再植、残端成形术和全阴茎重建。再植后的并发症包括尿道狭窄、尿道瘘和性功能减退。同时进行精神科护理至关重要。
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