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Case Reports
A Case Report of Self-Inflicted Surgical Castration
Koo Han Yoo, Sung-Goo Chang
Urogenit Tract Infect 2023;18(3):107-109.   Published online December 31, 2023
DOI: https://doi.org/10.14777/uti.2023.18.3.107
AbstractAbstract PDFPubReaderePub
Religious beliefs are a very significant part of one’s life. We report the case of a strongly religious man who sought to remove his testicles. After enlisting in the military, the man had a surgical castration performed on him while on vacation from military service. The procedure aimed to rid the man of his libido, which he saw as a hindrance to his religious life. After the removal of the testes, his serum testosterone was 0.25 ng/ml. The luteinizing hormone, 22.1 (1.7-8.6 mIU/ml), and follicle stimulating hormone, 53.5 (1.5-12.4 mIU/ml) were elevated. Testicular scans showed an absence of both testes. This appears to be an unfortunate situation caused by false religious beliefs and the reckless use of internet resources.
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Xanthogranulomatous Epididymitis Unresponsive to Antibiotic Treatment
Yeasol Kwon, Jun Baek Park, Sang Hwa Lee, Seung Ki Min
Urogenit Tract Infect 2023;18(2):70-73.   Published online August 31, 2023
DOI: https://doi.org/10.14777/uti.2023.18.2.70
AbstractAbstract PDFPubReaderePub
Xanthogranulomatous epididymitis is very rare, and there are few case reports worldwide. Clinically, it is necessary to differentiate between chronic scrotal inflammatory diseases, such as tuberculous epididymitis and testicular tumors. Proteus and Escherichia coli are the pathogens that generally cause xanthogranulomatous pyelonephritis, but the pathogens of xanthogranulomatous epididymitis are unclear. This paper reports a case of a 66-year-old male with epididymitis on scrotal ultrasonography and had Pseudomonas aeruginosa detected in a culture test. An orchiectomy was performed because he did not respond to antibiotic treatment.
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