Evins S C, Whittle T, Rous S N
J Urol. 1977 Nov;118(5):775-6. doi: 10.1016/s0022-5347(17)58190-2.
Self-emasculation is the end result of an unusual psychiatric disorder, which initially requires surgical treatment. Only 51 cases have been reported in the English literature since 1900. No previous attempt to preserve testicular androgen function by reimplantation or grafting has been reported. We describe an unsuccessful attempt to graft the testicles in subcutaneous thigh pockets. Microscopically, the biopsied autografts showed no viable interstitial or germinal testicular tissue. The objectives of the treatment of self-emasculation injury are restoration of anatomical and functional continuity of the urethra as a urinary channel, preservation of the capacity for sustained penile erection, preservation of testicular androgen activity, prompt psychiatric evaluation and treatment of the underlying illness, and restoration of the normal appearance of the scrotum.
自我阉割是一种罕见精神疾病的最终结果，最初需要手术治疗。自1900年以来，英文文献中仅报道了51例。此前尚无通过再植或移植来保留睾丸雄激素功能的尝试。我们描述了一次在大腿皮下袋中移植睾丸的失败尝试。显微镜下，活检的自体移植物未显示有存活的睾丸间质或生精组织。自我阉割损伤的治疗目标包括恢复尿道作为排尿通道的解剖和功能连续性、保留持续阴茎勃起的能力、保留睾丸雄激素活性、及时对潜在疾病进行精神评估和治疗，以及恢复阴囊的正常外观。
