| dc.description.abstract | The desire for self-mutilation in the absence of any discernible psychopathology is relatively rare.
Self-mutilation is most commonly a manifestation of an underlying psychopathology such as depression,
schizophrenia, personality disorder, transexuality, body dysmorphic disorder and factitious disorder. In
this article, a case in which a 29-year-old single Kenyan lady of African origin demanded a surgical
operation to modify and reduce the size of her external genitalia is presented. Although female genital
mutilation is still widespread in the country, this case is of interest in that the woman did not seek the
usual circumcision but sought to specifically reduce the size of her labia minora so that she could feel like
a normal woman. The unique challenges in her management are discussed. Possible aetiological factors
in patients who demand surgical removal or modification of parts of their bodies without an obvious
cause is discussed. | en |
