Beyond the Norm: Prompting Extreme Measures for Acute Urinary Retention (Klingsor-Like Syndrome)

We present a rare instance of an elderly male self-amputating his penis due to acute urinary retention from benign prostatic hyperplasia. While cases of genital self-amputation are documented globally, there is scarcity of such reports in Indian literature, with most resembling “Classical Klingsor” syndrome seen in psychiatric cases. Our case stands out as the first reported instance linked to a common cause prevalent in elderly males. Surgeons should be vigilant about this possibility and promptly address isolated elderly patients to mitigate such occurrences.