Teasing-Induced Self-Circumcision in a Teenager: A Case Report

Abstract

Aim: Male circumcision in traditionally circumcising communities is often performed by an experienced traditionalist or a surgeon. Transitioning through teenage years as an uncircumcised male in these communities can be challenging. This report highlights the psychosocial pressures of uncircumcised teenagers and the need for early formal circumcision to prevent self-injurious behaviour. Case Presentation: We present a 13-year-old male, who performed a self-circumcision using a kitchen knife after enduring repeated teasing episodes at annual sports camps. He was resuscitated and later had penile skin reconstruction done. He did not have an underlying psychological disorder. Discussion: Self-circumcision is rare and mostly reported amongst patients with underlying psychological disorders. Cases amongst teenagers with no underlying pathologies are ever rarer. Negative peer pressure in the form of teasing and push such patients to self-injurious behaviour. Early appropriate surgical intervention following self-circumcision results in good clinical outcomes. Conclusion: Uncircumcised teenagers in traditionally circumcising communities may suffer adverse psychological trauma from peers leading to self-harm. Parents of such children should seek early medical care to avert the risks of self-injurious behaviour.