Emasculation is the removal of the externalmale sex organs, which includes both thepenis and thescrotum, the latter of which contains thetesticles. It is distinct fromcastration, where only the testicles are removed. Although the terms are sometimes used interchangeably, the potentialmedical consequences of emasculation are more extensive due to the complications arising from the removal of the penis.[1] There are a range of religious, cultural, punitive, and personal reasons why someone may choose to emasculate themselves or another person.
The termemasculation may be used in ametaphorical sense, referring to the perceived loss of attributes traditionally associated withmasculinity, such as strength, power, or autonomy.
There are several different methods of emasculation. Both the penis and testicles may be removed simultaneously using a sharp instrument, such as a knife or razor or swords.[2][3] Non-crushing vascular clamps may also be used in medical surgery to cut off blood circulation and reduce bleeding.[4]
Alternatively, the penis and testicles may be removed during a series of stages. Medical surgeons use this method when performing surgery ontrans women who want their genitals removed over multiplesex reassignment surgeries (male-to-female), rather than in a single operation.[5] In these surgeries, the tissue is used and re-shaped into the neo-vagina and vulva.
Short-term consequences of emasculation includebleeding[6] and infection.[7] Historically, death was also a potential complication, although the prevalence is disputed.[8]
Long term complications include incontinence,[9]urethral stricture,[10] urine retention,[11]urinary tract infection,[12]urine extravasation[7] andbladder stones.[13] Some studies have found that emasculation may cause a range of physiological changes, such as a shortened torso,[14] widened stomach and hips,[15] increased height, bowed legs,[14] and an elongated skull.[14] Additionally, emasculates typically have less or no facial and body hair,[16] increased fatty tissue orgynecomastia,[16] and a feminine fat pattern distribution.[17] The physiological effects of emasculation are more severe for people who undergo the procedure before the onset of puberty.[18]
An emasculated Chinese eunuch from the Qing dynasty
Emasculation was performed in China on men to create palaceeunuchs for the imperial court.[19] The practice dates back to theShang dynasty (1600–1046 BC)[20] and continued up until 1924,[21] when the eunuch system was abolished by the last emperor of China,Puyi.[22] The last living palace eunuch,Sun Yaoting, died in 1996.[23]
Originally, palace eunuchs were prisoners who were involuntarily emasculated. In theQing dynasty, men began volunteering to undergo the procedure in order to gain employment, although instances of forced emasculation still occurred.[24] One reason why recipients willingly underwent emasculation is that they saw employment as a palace eunuch as a way to acquire wealth and power. Alternatively, poverty was a reason why fathers forced their sons to undergo emasculation, and the desire for financial benefit motivated human traffickers to force emasculation on their victims.[25]
There were several reasons why the Imperial court required its civil servants to be emasculated. Emasculation was thought to ensure a recipient's undivided loyalty to the emperor, as it severs the recipient's existing familial or social bonds and destroys their ability to produce future heirs.[26] The choice to hire emasculated eunuchs also ensured the legitimacy of the emperor's lineage.[27] The choice to emasculate, rather than merely castrate, was motivated by a desire to protect the chastity of women in the court, as emasculation rendered a recipient incapable of sexual intercourse.[28] While emasculation was a pre-requisite for gaining employment as a palace eunuch, it did not guarantee employment.[29]
The emasculation procedure was typically performed by a trained 'knifer', or 'knife expert'.[30] To prepare for the operation, the recipient was bathed in cold water to numb his senses and, in some instances, his genitals were twisted to reduce blood flow.[31] The recipient was then asked if he consented to the procedure, and if he answered yes the knifer excised the genitals with a single cut.[32]Styptic powder was then applied to the wound to stop bleeding, and apewter needle or spigot was inserted into the urethra to prevent stenosis (narrowing).[33]
Some Chinese emasculates were the great historianSima Qian;Cao Teng, the foster grandfather ofCao Cao;Zheng He, aMing dynasty admiral of the imperial navy who sailed to Africa; and the surviving sons and grandson of rebelYaqub Beg.[34]
To create eunuchs for theArab slave trade, young black boys from South East Africa typically had their penis and scrotum amputated.[35] White boys, by comparison, were usually only castrated.[35]
Emasculated Skoptsy male (left) and Skoptsy female with breasts cut off (right)
Emasculation was one form of genital mutilation practiced by the Skoptsy, a Russian Christian sect. For males, the other form of mutilation available was castration. Females could remove their nipples, breasts,labia majora,labia minora orclitoris.[36] These practices may have begun sometime during the 1760s, after the sect was founded by Kondratii Selivanov, although they were only discovered by the broader community in 1772.[37] They continued up until the 1930s, when the sect was destroyed and its members sentenced.[38]
The Skoptsy practiced genital mutilation because they believed the genitals were the source of original sin, and that by removing them, they could attain salvation.[39] The aim of removing the offending genitalia was to purify the body.[40] Their belief was based on a literal reading of the verse ofMatthew 19:12, which states: "There are some eunuchs, which were so born from their mother's womb: and there are some eunuchs, which were made eunuchs of men: and there be eunuchs, which have made themselves eunuchs for the kingdom of heaven's sake."[41] In addition, the verses ofMatthew 18:8,9 andLuke 23:29 were also cited as support.[42] Of the two types of genital mutilation available to men, emasculation was called the Greater Seal. Castration, by comparison, was called the Lesser Seal.[43] Emasculation was preferable because it rendered a recipient physically incapable of engaging in sinful sexual conduct, allowing them to attain a higher level of purity.
Originally, the emasculation procedure was performed by burning the testicles off with an iron.[44] Later, the genitals were tied at the base and removed using a knife or razor blade. The wound was then cauterised, or asalve was applied, to prevent bleeding. Many Skoptsy were peasants and were familiar with animal husbandry, which meant their emasculation procedures were often performed with "surgical precision."[45] In some instances, members of the Skoptsy would perform the emasculation on themselves, in an act ofself-surgery, though it was more typical for the procedure to be performed by an elder during a ceremony.[36]
Throughout theIndian subcontinent tradition, including India, Bangladesh and Pakistan, some members of theHijra community reportedly undergo emasculation, ornirvan.[46]
Traditionally, emasculation was arite of passage into the Hijra community.[47] Today it remains an important ritual, though is not mandatory or universally practiced.[48] When it is performed, it typically occurs several years after an individual has already participated within the Hijra community. While some Hijra are emasculated, others are intersex, undeveloped in puberty or impotent.[49]
Whether or not a Hijra undergoes emasculation is influenced by a range of considerations. Some people are not emasculated because they are fearful of surgical complications, are under financial constraints, or merely as a matter of personal choice.[50] For Muslim Hijra, emasculation may be avoided due to the belief that genital mutilation goes against Allah's will.[51]Others see emasculation as necessary in order to be 'reborn' as a Hijra. In this view, emasculated Hijra are seen as more 'real' than those who are not.[52] The decision to be emasculated may also be motivated by personal beliefs about whether a Hijra can have spiritual powers without undergoing the procedure. Amongst members of the Hijra community, this issue is subject to considerable debate.[51]
In the past, the emasculation procedure was performed by barbers or by the individual themselves (i.e. self-emasculation).[53] Nowadays, the operation is performed by a Hijra elder, also called adai ma (midwife).[54] They have no medical training, but believe they operate with the power of the patron goddess,Bahuchara Mata.[55] The operation takes place early in the morning, around 3a.m. or 4a.m.[55] Anesthesia is not administered.[56] The penis and testes are tied together with a string, and the elder then makes two diagonal cuts with a sharp surgical knife to completely excise the organs.[57] The elder allows the blood to gush from the wound, which is considered necessary to completely cleanse the recipient of their male parts. This is one reason why the procedure is performed by an elder rather than a medical professional, who might try to stop the haemorrhage, thus interfering with the ritual's cleansing effect.[58] Afterwards, no stitches are taken and the wound is left exposed, although a small stick is inserted into the urethra to preventurethral stricture.[59]
Emasculation was one of the Five Punishments used in ancientChina.[60] It was the prescribed punishment for people who engaged in licentious conduct, such as infidelity or rape.[61] The first evidence of its use dates to theShang dynasty (1700–1100 BC), when the characters for a knife and male genitalia were carved into oracle bones. It continued up until theSui dynasty (581–618 CE), when it was formally abolished.[62]
There are reports of self-emasculation cases resulting frommental disorder. Some academics claim that a majority of self-emasculations are a result of psychosis,[63] although this finding has been challenged.[64] Nonetheless, there are several reported cases of people withschizophrenia engaging in self-emasculation.[65]
It has been linked to other mental disorders such as dissociative identity disorder.[66]
Klingsor syndrome[67] (sometimes known asSkotpic syndrome) is a condition where people mutilate their genitals as a result of psychoticreligious delusions.[68] For example, in one case a person is reported to have mutilated his genitals after experiencingauditory hallucinations telling him he would only be allowed into thekingdom of heaven if he emasculated himself.[69]
Body integrity dysphoria, or xenomelia, is another mental disorder that may drive a person to seek emasculation.[70] People with this disorder are distressed by the presence of a limb that they do not identify as part of their body, including the genitals. Emasculation in this context alleviates their distress, enabling them to become 'whole'.[71] Related to this is body dysmorphic disorder (BDD), with ideation of a defect it genitalia that causes stress and a desire for excision.[72] However, the amputation of healthy limbs by medical professionals is highly controversial. The inability to acquire medically administered emasculation has driven some to self-emasculation.[73]
Occasionally, self-emasculation is practiced by those suffering from gender dysphoria.[74] When compared with the general population, transgender persons are at a higher risk of engaging in acts of genital self-mutilation, including self-emasculation.[75] In the majority of these cases there is not male to female gender dysphoria. Rather, the subject usually continues to self identify as male, or often as a non binary, asexual,eunuch orthird gender.[72][76] Some adopt the termnullo, meaning someone whose sexuality has been nullified.[77] Those with this form of gender dysphoria are often unable to access suitable medical care.[78]
In some cases, a person with a mental illness has emasculated other people.[79]
In some circumstances, a person may be emasculated involuntarily as the result of an accident,[80] as part of a ritual attack,[81] or due topoor circumcision practice.[82]
In these cases, the objective of medical treatment is different than for cases of voluntary emasculation. The goals of treatment are to either reattach the severed genitals or to reconstruct an artificial penis and testes.[83]
From 1960 to 2000, involuntarily emasculated infants were surgically reassigned female, similar to the treatment received byDavid Reimer after his penis was burnt off during acircumcision procedure. It is now understood from cases like Reimer's that gender reassignment surgery in infancy can interfere with gender identity formation. Therefore, gender reassignment is no longer the standard practice for involuntarily emasculated infants.[84]
Look upemasculation in Wiktionary, the free dictionary.
By extension, the wordemasculation has also come to mean rendering a male lessmasculine, including by humiliation. It can also mean to deprive anything of vigour or effectiveness. This figurative usage has become more common than the literal meaning. For example: "William Lewis Hughes voted for Folkestone's amendment to Curwen's emasculated reformbill, 12 June 1809 ... "[85]
Inhorticulture, the removal of male (pollen) parts of a plant, largely for controlled pollination and breeding purposes, is also called emasculation.[86]
Apeiranthitou, Vasiliki; Thomas, George; Louka, Penelope (16 May 2019). "Gender dysphoria: A critical discussion of the understanding and treatment of gender dysphoria".Dialogues in Clinical Neuroscience & Mental Health.2 (1):72–80.doi:10.26386/obrela.v2i1.110.
Bellringer, J (2017b). "Genital surgery". In Barrett, J (ed.).Transsexual and Other Disorders of Gender Identity: A Practical Guide to Management. Oxford, UK: Radcliffe Publishing. pp. 209–220.ISBN9781498793131.
Chiang, H (2012). Chiang, H (ed.).Transgender China. New York: Palgrave Macmillan.ISBN978-1-349-34320-1.
Coleman, Eli; Cesnik, John (April 1990). "Skoptic Syndrome: The Treatment of an Obsessional Gender Dysphoria with Lithium Carbonate and Psychotherapy".American Journal of Psychotherapy.44 (2):204–217.doi:10.1176/appi.psychotherapy.1990.44.2.204.PMID2114800.
Dale, M. S. (1 April 2010). "Understanding Emasculation: Western Medical Perspectives on Chinese Eunuchs".Social History of Medicine.23 (1):38–55.doi:10.1093/shm/hkp139.
Dale, M S (2018).Inside the World of the Eunuch A Social History of the Emperor's Servants in Qing China. Hong Kong: Hong Kong University Press.ISBN978-988-8455-75-1.
Donnelly-Boylen, Kevin (October 2016). "Gender dysphoria, serious mental illness, and genital self-mutilation: A case report".Journal of Gay & Lesbian Mental Health.20 (4):376–381.doi:10.1080/19359705.2016.1209395.S2CID147777077.
Emeliantseva, Ekaterina (2009). "Icons, portraits, or types? Photographic images of the Skoptsy in late Imperial Russia (1880-1917)".Jahrbücher für Geschichte Osteuropas.57 (2):189–204.doi:10.25162/jgo-2009-0009.JSTOR41052249.S2CID152152285.
Engelstein, L (1997). "From Heresy to Harm: Self-Castrators in the Civic Discourse of Late Tsarist Russia". In Teruyuki, H; Kimitaka, M (eds.).Empire and Society: New Approaches to Russian History. Hokkaido, Japan: Slavic Research Center, Hokkaido University. pp. 1–22.
Engelstein, L (1999).Castration and the Heavenly Kingdom: A Russian Folktale. Ithaca, London: Cornell University Press.
Evens, Starling C.; Whittle, Tom; Rous, Stephen N. (November 1977). "Self-Emasculation: Review of the Literature, Report of a Case and Outline of the Objectives of Management".Journal of Urology.118 (5):775–776.doi:10.1016/s0022-5347(17)58190-2.PMID916099.
Gearhart, John P.; Rock, John A. (September 1989). "Total Ablation of the Penis After Circumcision with Electrocautery: A Method of Management and Longterm Followup".Journal of Urology.142 (3):799–801.doi:10.1016/s0022-5347(17)38893-6.PMID2769863.
Goldberg, B Z (1930).The Sacred Fire: The Story of Sex in Religion. Norwich, UK:Jarrold Publishing.
Hedhly, A; Hormaza, J I; Herrero, M (2009). "Flower emasculation accelerates ovule degeneration and reduces fruit set in sweet cherry".Scientia Horticulturae.119 (4):455–457.Bibcode:2009ScHor.119..455H.doi:10.1016/j.scienta.2008.08.020.
Hossain, Adnan (December 2012). "Beyond Emasculation: Being Muslim and Becoming Hijra in South Asia".Asian Studies Review.36 (4):495–513.doi:10.1080/10357823.2012.739994.S2CID143636760.
Johnson, Thomas W.; Wassersug, Richard J. (June 2010). "Gender Identity Disorder Outside the Binary: When Gender Identity Disorder-Not Otherwise Specified Is Not Good Enough".Archives of Sexual Behavior.39 (3):597–598.doi:10.1007/s10508-010-9608-1.PMID20182785.S2CID412586.
Johnson, Thomas W.; Wassersug, Richard J.; Roberts, Lesley F.; Sutherland, Michelle Brett; First, Michael B. (February 2010). "Desire for Castration Is Not a Body Integrity Identity Disorder (BIID): A Response".The Journal of Sexual Medicine.7 (2):853–855.doi:10.1111/j.1743-6109.2009.01603.x.
Kenyon, Herbert R.; Hyman, RM (17 January 1953). "Total autoemasculation; report of three cases".Journal of the American Medical Association.151 (3):207–210.doi:10.1001/jama.1953.02940030041010a.PMID12999539.
Khan, Shahnaz (June 2016). "What is in a Name? Khwaja Sara, Hijra and Eunuchs in Pakistan".Indian Journal of Gender Studies.23 (2):218–242.doi:10.1177/0971521516635327.S2CID148253442.
Khan, Shahnaz (September 2017). "Khwaja sara, hijra, and the Struggle for Rights in Pakistan".Modern Asian Studies.51 (5):1283–1310.doi:10.1017/s0026749x16000068.S2CID148748286.
Khan, S I; Khan, N M; Rahman, M; Gourab, G (2016). "Hijra/Heijra". In Naples, N A (ed.).The Wiley Blackwell Encyclopedia of Gender and Sexuality Studies. Chicester, United Kingdom: John Wiley & Sons. pp. 1–2.doi:10.1002/9781118663219.ISBN9781118663219.
Lipshultz, L I (1980). "Orchiectomy, Penectomy, Vaginoplasty for the Male Transsexual". In Lipshultz, L I; Corriere, J N; Hafez, E S E (eds.).Surgery of the Male Reproductive Tract. Dordrecht: Springer. pp. 169–173.ISBN978-94-009-8849-1.
Mellon, Charles David; Barlow, Carrolee; Cook, Joshua; Clark, Lincoln (February 1989). "Autocastration and autopenectomy in a patient with transsexualism and schizophrenia".Journal of Sex Research.26 (1):125–130.doi:10.1080/00224498909551496.
Money, John (16 June 1988). "The Skoptic Syndrome: Castration and Genital Self-Mutilation as an Example of Sexual Body-Image Pathology".Journal of Psychology & Human Sexuality.1 (1):113–128.doi:10.1300/J056v01n01_09.
Mora, William; Drach, George W. (August 1980). "Self-Emasculation and Self-Castration: Immediate Surgical Management and Ultimate Psychological Adjustment".Journal of Urology.124 (2):208–209.doi:10.1016/s0022-5347(17)55375-6.PMID7401234.
Nanda, S (1999).Neither Man Nor Woman: The Hijras of India. Massachusetts: Cengage.ISBN978-0534509033.
Nanda, S (1984). "The hijras of India. A preliminary report".Medicine and Law.3 (1):59–75.PMID6538636.
Ochoa, Bernardo (September 1998). "Trauma of the external genitalia in children: amputation of the penis and emasculation".The Journal of Urology.160 (3 Pt 2):1116–1119.doi:10.1097/00005392-199809020-00040.PMID9719288.
Shaw, Matthew B. K.; Sadove, A. Michael; Rink, Richard C. (March 2003). "Reconstruction After Total Penile Amputation and Emasculation".Annals of Plastic Surgery.50 (3):321–324.doi:10.1097/01.sap.0000029629.81612.2e.PMID12800913.
Stief, Matthew (January 2017). "The Sexual Orientation and Gender Presentation of Hijra, Kothi, and Panthi in Mumbai, India".Archives of Sexual Behavior.46 (1):73–85.doi:10.1007/s10508-016-0886-0.PMID27878410.S2CID44767139.
Vale, Kayla; Johnson, Thomas W.; Jansen, Maren S.; Lawson, B. Keith; Lieberman, Tucker; Willette, K. H.; Wassersug, Richard J. (7 May 2010). "The Development of Standards of Care for Individuals with a Male-to-Eunuch Gender Identity Disorder".International Journal of Transgenderism.12 (1):40–51.doi:10.1080/15532731003749095.S2CID144853784.