Penile amputation constitutes a rare yet life threatening emergency, mostly occurring Due to self-mutilation in the face of acute psychotic episode (klingsor syndrome), this Incident, influenced by auditory commanding hallucinations, presented a considerable Challenge in which multidisciplinary team approach played a vital role.We present a case of a 22-year-old male with self-inflicted penile mutilation following An acute psychotic episode with auditory hallucination of command, the patient was Referred to our facility, arriving 10 hours following a self-inflicted penile amputation. He was promptly assessed at our emergency department by multidisciplinary team and The underlying disorder was found to be controllable and after a thorough evaluation, We opted, in agreement with the family, for penile replantation, here, we provide an Account to our management and the microscopic reimplantation procedure that was Performed under loupe magnification, with additional anastomosis of cavernosal Arteries, achieving microsurgical reperfusion by 17 hours after mutilation, following Five hours of surgical time. Our patient reported his first erection before discharge. Early complications associated with the wound site were reported and was managed By wound care, surgical debridement, and subsequent skin grafting. The urethral Catheter was removed at discharge, with good micturition stream observed.Conclusively, successful microsurgical penile reimplantation in the face of selfmutilation underscores the role of a multidisciplinary team in decision making, and Patient care in the background of psychiatric illness. Anastomosis of cavernosal arteries Provides early return of erectile function. The promise for continued psychiatric Compliance ensures avoidance of long-term complications, especially re-amputation.