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

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.