A Near-Miss Unintended Orchidectomy involving a Local Herbal-Circumcisionist in South-Eastern Ghana: A Case Report on a Circumcision Disaster

Abstract

Diclyn Zichire*

Introduction: This case report details a near-catastrophic event involving a 4-month- old male who underwent circumcision by a local herbal circumcisionist in South-Eastern Ghana. The procedure resulted in severe complications, almost leading to unintended orchidectomy. This case underscores the critical need for proper medical training and stringent regulation of traditional practices.

Case presentation: The circumcision led to extensive penile skin degloving and loss, affecting the scrotal skin, dartos muscle and fascia, external spermatic fascia, cremaster muscle and fascia, and internal spermatic fascia. Only the tunica vaginalis remained as coverage for over 50% of the scrotal area. Immediate surgical intervention with wound toileting and primary closure using local dartoso-fasciocutaneous flaps was performed. The child recovered without loss of testicular function.

Discussion: The scrotum’s adaptability allowed for effective use of local flaps, demonstrated by its ability to stretch and regenerate. This case highlights the need for medical oversight in traditional circumcision practices.

Conclusion: Urgent regulation and education of traditional practitioners are essential for safe circumcision practices.