2014/08/11 by Sam Kaggwa, Moses Galukande · 5 citations
Medicine · #Female Genital Mutilation/Cutting Issues #Genital Health and Disease #Urological Disorders and Treatments #Medicine #Urethrostomy #Torture #Sex organ #Female circumcision #Rite of passage #Sexual intercourse #Gynecology #Penis #General surgery #Psychiatry #Surgery #Human rights #Population #Law
paper · pdf · doi:10.1186/1756-0500-7-519
published in BMC Research Notes 7(1), 519 (BioMed Central)
openalex publication_date 2014/08/11 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/23
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.