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.
Highlights
Genital losses from ritual attacks are often reported in the media and often discussed in the social media but are hardly reported in medical literature [1]
* Correspondence: sam.kaggwa@gmail.com 1Sam Kaggwa Department of Surgery, Makerere University College of Health Sciences, Kampala, Uganda Full list of author information is available at the end of the article. In this case we describe a 5-year old Ugandan boy who had his genitals mutilated in bizarre circumstances withina ritual attack
We report an extreme case of Male genital mutilation (MGM) in bizarre circumstances of a ritual attack
Summary
Genital losses from ritual attacks are often reported in the media and often discussed in the social media but are hardly reported in medical literature. MGM refers to permanent or temporary modification of the external genitalia that involves partial or total ablation of genital tissues or other injury to the male genital organs [2] When found, it is usually as a consequence of poor circumcision skills, auto mutilation/castration or genital injuries caused by ritual attacks or accidents [3]. Outside of professionally 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 [4] In this case we describe a 5-year old Ugandan boy who had his genitals mutilated in bizarre circumstances withina ritual attack.
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