Traditional Uvulectomy: A common and potentially life-threatening practice in a developing country

Abstract

Objective: uvula. It is usually performed by non-medical personnel using mostly unsterile instruments. Notwithstanding the increasing number of health facilities, it is surprising that this aged-long crude practice with significant complications is still rampant in the 21st century. Material and Methods: This is a case series of four males with the age range of 5-months to four years who had traditional uvulectomy following febrile illnesses but with no improvement of symptoms. Thereafter, all presented late to our facility with diverse complications, including haemorrhage, infections, and convulsions. Three recovered fully following prompt treatment, however, one mortality was recorded. Conclusion: These cases highlight the life-threatening complications associated with traditional uvulectomy and the need for drastic measures to curtail the practice.

Uvula infections and traditional uvulectomy: Beliefs and practices in Luwero district, central Uganda

“…In a dissemination meeting we held in Luwero town with the district leadership, traditional surgeons, VHTs, and local leaders from the two sub counties, the surgeons confirmed that they have not had any complications. Similar sentiments have been reported among traditional practitioners [ 21 ] and caregivers [ 32 ], although earlier studies indicated there are several complications from traditional uvulectomy [ 20 , 24 – 27 , 36 ] including mortality [ 24 ]. In a study in Nigeria, 58% of patients did not clear symptoms that led to uvulectomy [ 25 ].…”

“…Similar sentiments have been reported among traditional practitioners [21] and caregivers [32], although earlier studies indicated there are several complications from traditional uvulectomy [20,[24][25][26][27]36] including mortality [24]. In a study in Nigeria, 58% of patients did not clear symptoms that led to uvulectomy [25].…”

“…In some cases, it has been practiced as a ritual even without presence of symptoms [18]. This is an age-old practice that has been reported in earlier [18,19] and more recent studies in Africa [20][21][22][23][24] including the burden of its adverse consequences, among both adults and children [25]. Some studies have recommended eliminating this as a dangerous practice [24][25][26][27] but it continues to be carried [24] in several areas.…”