Total penile amputation following ritual circumcision: A case report of a devastating complication

Abstract

Circumcision is among the most commonly performed surgical procedures in boys. In Morocco, this practice is often carried out by traditional practitioners, exposing patients to potentially catastrophic complications that are challenging to manage. We report the case of a 2-year-old boy who underwent ritual circumcision complicated by total penile amputation, with loss of the amputated stump. A meatoplasty was performed, and the postoperative course was uneventful. This case underscores the importance of recognizing circumcision as a surgical procedure that should not be trivialized. Furthermore, it highlights the necessity of implementing training programs for traditional practitioners to promote safe circumcision practices. • Circumcision is extremely common worldwide and often performed for cultural, religious, or nontherapeutic reasons. • Proper medical supervision is critical to avoid severe complications during the procedure. • Potential complications can be catastrophic , ranging from minor incidents to severe injuries, including partial or total penile amputation. • Penile amputation after circumcision is a serious medical emergency , posing significant significant challenges for management and having profound functional and psychological consequences.