▁surg ery ▁was ▁performed ▁in ▁ 2 0 1 5 , ▁on ▁a ▁ 1 7 - year - old ▁boy ▁who ▁had ▁an ▁American ▁football - sh aped ▁pen is ▁as ▁a ▁result ▁of ▁rec urrent ▁pri ap ism . ▁ ▁Self - inf lic ted ▁ ▁A ▁person ▁may ▁eng age ▁in ▁self - inf lic ted ▁gen ital ▁injury ▁or ▁m util ation ▁such ▁as ▁cas tr ation , ▁pen ect omy , ▁or ▁cl itor ide ct omy . ▁The ▁motiv ation ▁behind ▁such ▁actions ▁vary ▁widely ; ▁it ▁may ▁be ▁done ▁due ▁to ▁sk opt ic ▁synd rome , ▁personal ▁crisis ▁related ▁to ▁gender ▁identity , ▁mental ▁ill ness , ▁self - m util ation , ▁body ▁d ys m orph ia , ▁or ▁social ▁reasons . ▁ ▁Fem ales ▁ ▁Fem ale ▁gen ital ▁m util ation ▁ ▁Fem ale ▁gen ital ▁m util ation ▁( F GM ), ▁also ▁known ▁as ▁female ▁gen ital ▁cutting ▁( F GC ), ▁female ▁circum c ision , ▁or ▁female ▁gen ital ▁m util ation / cut ting ▁( F GM / C ), ▁refers ▁to ▁" all ▁procedures ▁involving ▁partial ▁or ▁total ▁removal ▁of ▁the ▁external ▁female ▁gen ital ia ▁or ▁other ▁surg ery ▁of ▁the ▁female ▁gen ital ▁org ans ▁whether ▁for ▁cultural , ▁religious ▁or ▁other ▁non - ther ape ut ic ▁reasons ." ▁It ▁is ▁not ▁the ▁same ▁as ▁the ▁procedures ▁used ▁in ▁gender ▁re ass ignment ▁surg ery ▁or ▁the ▁gen ital ▁modification ▁of ▁inter