Male genital mutilation (amputation) and its complications: a case report

Abstract

BackgroundGenital losses from ritual attacks are often reported in the media and often discussed in the social media but are hardly reported in medical literature. Male genital mutilation (MGM) refers to permanent modification of the external genitalia that involves ablation of genital tissues.When found, it is usually as a consequence of poor circumcision skills, auto mutilation/castration or genital injuries caused by attacks or accidents. Male circumcision on its own is widely regarded as a rather safe and acceptable practice which is known to have some health benefits and in keeping with several religious customs as rite of passage. Outside of professional performed circumcision, MGM is usually associated with dark arts and malicious intentions like witchcraft or as a consequence of torture of prisoners of war for information.Case presentationIn this case we describe a 5-year old Ugandan boy who had his genitals mutilated in bizarre circumstances within a ritual attack. He survived and a urethrostomy was fashioned.ConclusionThere is need to document more of these cases in order to gather enough information to inform prevention and treatment strategies. Issues of hormonal replacement therapy (HRT) and possible sex change require much debate. These genital sex changing operations should preferably be avoided until a child can fully participate in decision making.

Trauma of the external genital in children: Emasculation, a paediatric case report

“…Total amputation of penis, testicles and scrotum is rare especially in children. In most of cases, it is iatrogenic in origin and follow procedures such as circumcision, hypospadias surgery; no iatrogenic causes include child abuse, animal attack, ritual attacks, congenital cause and road traffic accident [2,3]. In our case, the road traffic accident has been the cause of the genitals injuries.…”

“…Several causes of the male genitalia amputation have been described. These causes including circumcision, animal bites, child abuse, and genital mutilation [2,3]. We describe a case of 8-year old Ivorian boy who had a complete penis, scrotal, and gonadal loss in and its complications following a road traffic accident in developing country.…”

Analisis Sifat Mekanik Karet Silikon sebagai Kandidat Prepusium Sintetik pada Alat Peraga Khitan

“…Beberapa laporan menunjukkan bahwa pernah terjadi kesalahan saat tindakan khitan [1,2]. Untuk mengurangi resiko tersebut, tenaga medis seharusnya dibekali dengan keterampilan secara teori dan praktek lebih intensif dalam melakukan tindakan khitan.…”