Psychiatric Approach in Phantom Erection Postpenectomy Patient
Introduction. Phantom limb pain is a pain sensation experienced in the area of the missing body part. The pain generally appears in the first few days after surgery. PLP could occur in teeth, tongue, breast, eyes, rectum, bladder, testicles, and penis. Phantom pain in the penis is not only felt as p...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
|
| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2023/4113455 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849737265030365184 |
|---|---|
| author | Popy Arizona Erikavitri Yulianti Izzatul Fithriyah |
| author_facet | Popy Arizona Erikavitri Yulianti Izzatul Fithriyah |
| author_sort | Popy Arizona |
| collection | DOAJ |
| description | Introduction. Phantom limb pain is a pain sensation experienced in the area of the missing body part. The pain generally appears in the first few days after surgery. PLP could occur in teeth, tongue, breast, eyes, rectum, bladder, testicles, and penis. Phantom pain in the penis is not only felt as pain but sometimes as an erection or urination, even after the removal of the penis. Clinical Case. A 35-year-old man was referred to the psychiatrist due to phantom erection after undergoing reimplantation of the penis by the urologist. A few days before the referral, he was admitted to the emergency department after a penile amputation that his wife performed. During the recovery phase after the penile reimplantation procedure, the patient worried about his penis’ outcome and became depressed. The patient was in severe anxiety and moderate-to-severe depression status. Treatment. The patient was given nonpsychopharmacology such as supportive psychotherapy, family psychoeducation, relaxation and marital therapy, and psychopharmacology, such as amitriptyline 12.5 Mg PO two times a day and clobazam 10 Mg PO each day for 3 months. One and a half months later, his anxiety and depression were better. Conclusion. A psychiatric approach was needed in an amputated limb patient with psychopathologic symptoms. Nonpsychopharmacotherapy and psychopharmacotherapy were needed if the patient had symptoms. Further studies with a large number will be necessary to validate the psychiatric approach in amputated limb patients with psychopathologic symptoms cases. |
| format | Article |
| id | doaj-art-8432e5e473ed4df8938e16b5b93d230b |
| institution | DOAJ |
| issn | 2090-6838 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-8432e5e473ed4df8938e16b5b93d230b2025-08-20T03:06:58ZengWileyCase Reports in Psychiatry2090-68382023-01-01202310.1155/2023/4113455Psychiatric Approach in Phantom Erection Postpenectomy PatientPopy Arizona0Erikavitri Yulianti1Izzatul Fithriyah2Department of PsychiatryDepartment of PsychiatryDepartment of PsychiatryIntroduction. Phantom limb pain is a pain sensation experienced in the area of the missing body part. The pain generally appears in the first few days after surgery. PLP could occur in teeth, tongue, breast, eyes, rectum, bladder, testicles, and penis. Phantom pain in the penis is not only felt as pain but sometimes as an erection or urination, even after the removal of the penis. Clinical Case. A 35-year-old man was referred to the psychiatrist due to phantom erection after undergoing reimplantation of the penis by the urologist. A few days before the referral, he was admitted to the emergency department after a penile amputation that his wife performed. During the recovery phase after the penile reimplantation procedure, the patient worried about his penis’ outcome and became depressed. The patient was in severe anxiety and moderate-to-severe depression status. Treatment. The patient was given nonpsychopharmacology such as supportive psychotherapy, family psychoeducation, relaxation and marital therapy, and psychopharmacology, such as amitriptyline 12.5 Mg PO two times a day and clobazam 10 Mg PO each day for 3 months. One and a half months later, his anxiety and depression were better. Conclusion. A psychiatric approach was needed in an amputated limb patient with psychopathologic symptoms. Nonpsychopharmacotherapy and psychopharmacotherapy were needed if the patient had symptoms. Further studies with a large number will be necessary to validate the psychiatric approach in amputated limb patients with psychopathologic symptoms cases.http://dx.doi.org/10.1155/2023/4113455 |
| spellingShingle | Popy Arizona Erikavitri Yulianti Izzatul Fithriyah Psychiatric Approach in Phantom Erection Postpenectomy Patient Case Reports in Psychiatry |
| title | Psychiatric Approach in Phantom Erection Postpenectomy Patient |
| title_full | Psychiatric Approach in Phantom Erection Postpenectomy Patient |
| title_fullStr | Psychiatric Approach in Phantom Erection Postpenectomy Patient |
| title_full_unstemmed | Psychiatric Approach in Phantom Erection Postpenectomy Patient |
| title_short | Psychiatric Approach in Phantom Erection Postpenectomy Patient |
| title_sort | psychiatric approach in phantom erection postpenectomy patient |
| url | http://dx.doi.org/10.1155/2023/4113455 |
| work_keys_str_mv | AT popyarizona psychiatricapproachinphantomerectionpostpenectomypatient AT erikavitriyulianti psychiatricapproachinphantomerectionpostpenectomypatient AT izzatulfithriyah psychiatricapproachinphantomerectionpostpenectomypatient |