Asian Journal of Research and Reports in Urology

Complete Amputation of the Male External Genitalia: Case Report and Review of Management Challenges in Sub-Saharan Africa

Odezi Fidelis Otobo

Department of Urology, University of Calabar Teaching Hospital, Calabar, Nigeria.

Mba Okpan Ozinko

Department of Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria.

Friday Emeakpor Ogbetere *

Department of Surgery, Faculty of Clinical Sciences, Edo State University, Uzairue, Edo State, Nigeria.

*Author to whom correspondence should be addressed.

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Abstract

Background: Amputation of the entire external genitalia is a rare surgical emergency. Spousal assault following misunderstanding, self-mutilation, and trauma are known aetiologies.  Complete amputation of the external genitalia for possible ritual purposes is scarcely reported in the medical literature.

Herein, we present a case of a 34-year-old security guard whose external genitalia was excised en-bloc and taken away by unknown persons for alleged ritual purposes. This case report lends credence to the occurrence of such uncommon injuries and to re-awaken interest in their prevention and medical management. The challenges of management in the sub-Saharan African setting are also discussed.

Keywords: Male external genitalia, amputation, surgical emergency

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