Self-castration

Background Deliberate genital self-mutilation is rare. Successful self-cast ration has been reported in a small number of individuals. Method This study reports one such case of self-castration in a transsexual who was dissatisfied with waiting times for sex reassignment surgery (SRS) . Result and conclusion The apparent triggering factor in this case appears t o be depression related to the lengthy waiting times for SRS. As neither ps ychotherapy nor hormonal manipulation is successful, consideration should b e given to improving the resources for patients with genuine gender dysmorp hism.