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

BACKGROUND: 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. Male genital mutilation (MGM) refers to permanent modification of the external genitalia that involves ablation of genital tissues. Wh...

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Autores principales: Kaggwa, Sam, Galukande, Moses
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266893/
https://www.ncbi.nlm.nih.gov/pubmed/25112277
http://dx.doi.org/10.1186/1756-0500-7-519
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author Kaggwa, Sam
Galukande, Moses
author_facet Kaggwa, Sam
Galukande, Moses
author_sort Kaggwa, Sam
collection PubMed
description BACKGROUND: 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. 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 PRESENTATION: In 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. CONCLUSION: There 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.
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spelling pubmed-42668932014-12-16 Male genital mutilation (amputation) and its complications: a case report Kaggwa, Sam Galukande, Moses BMC Res Notes Case Report BACKGROUND: 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. 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 PRESENTATION: In 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. CONCLUSION: There 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. BioMed Central 2014-08-12 /pmc/articles/PMC4266893/ /pubmed/25112277 http://dx.doi.org/10.1186/1756-0500-7-519 Text en © Kaggwa and Galukande; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Kaggwa, Sam
Galukande, Moses
Male genital mutilation (amputation) and its complications: a case report
title Male genital mutilation (amputation) and its complications: a case report
title_full Male genital mutilation (amputation) and its complications: a case report
title_fullStr Male genital mutilation (amputation) and its complications: a case report
title_full_unstemmed Male genital mutilation (amputation) and its complications: a case report
title_short Male genital mutilation (amputation) and its complications: a case report
title_sort male genital mutilation (amputation) and its complications: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266893/
https://www.ncbi.nlm.nih.gov/pubmed/25112277
http://dx.doi.org/10.1186/1756-0500-7-519
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