As transmitted to us, the practice of female virgin penis in children is not a tradition of the tribes of Kenya. The aim of this mutilation has been making a potion to cure HIV / AIDS as totally unfounded beliefs of certain groups. For now, two people have been arrested for these events, and are awaiting trial.

Philip Barasa (12 years) and Oscar Kituyi (14 years) have flown from Kenya to Valencia, sponsored by Kenya Airways and KLM Royal Dutch Airlines.

Philip (12 years) suffered the amputation of his penis at the hands of strangers. He traveled 35 km walk to meet his mother, ill and admitted to a hospital. A man offered him food and drink, and after a while he woke up buried in a sugarcane field. He got out of the hole and crawl into a nearby house, where he was taken to hospital. Philip has had a urinary catheter placed above the pubis to urinate.

Oscar (14 years) suffered the amputation of his penis and other major injuries for the same period. A stranger offered her a job and money, and Oscar went with him. The stranger offered him a cup of tea. You then partially conscious, two young men were dropping her pants, with severe pain. He realized that he was severing his penis and testicles, so they offered resistance, which resulted in two machete slashes in the face and left arm. He finally lost consciousness. When she awoke she found her genital bleeding and multiple dogs licking the blood. They had amputated him the ear completely, leaving large facial scars, and severed the radial nerve, being unable to mobilize the left wrist. Since then and for the rest of your life, you need to medicate with male hormones to achieve normal growth.

Omondi (6 years) also suffered the amputation of his penis. For his age we know of the circumstances in which this episode occurred. Omondi is currently waiting to be operated in Spain.

To learn more, visit the newspapers in Kenya, clickhere

After arriving in Valencia, Philip and Oscar went to Recovery and Rehabilitation Centre de Levante, where Dr. Pedro C. Cavadas, along with the Hand and Reconstructive Surgery Unit undertake the interventions.

After a thorough examination it was decided this following surgical plan:

          FIRST DAY

                1. Reconstruction of theOscar's left ear as Nagatta technique. We took the rib cartilage and was given ear-shaped, then inserting it into place. In a few months will proceed to take off the new ear to give a natural projection.

                2. Functional repair of the left radial nerve palsy by set of tendon transfers for radial nerve.

CARTILAGINOUS EAR MOULD		INSERTING THE CARTILAGE
DR. CAVADAS DURING THE DESIGN OF THE CARTILAGIOUS MOULD		RESULTAFTER INSERT

 

          SECOND DAY

                Reconstruction of Oscar's penis (total phalloplasty) with sensitive osteocutaneous radial free flap.

The operation took place over seven hours. First, we prepared the amputation stump area, looking for the remains of heanthy urethra and corpora cavernosa that might occur. Greatly was found that there were still remnants of them, although the testicles were amputees. We proceeded to the dissection of the pudendal nerves that transmit the sensation of the penis.

After this, we performed the elevation of the sensitive osteocutaneous radial flap. This means a flap with skin, fat, bone and nerves sensitive, rubbing it to shape it like a penis. To reconstruct the urethra was used vascularized skin flap, which adds quality to the reconstruction. We left a margin of 3 cm of healthy skin on the forearm to prevent lymphedema of the hand, and then we covered it with skin grafts.

In the groin wa prepared a vascular loop loop to anastomose the arteries and veins of the flap. Then we pulled the flap of the forearm and we placed it in the genital area, suturing the bone to the corpora cavernosa. Urethra was repaired and pudendal nerves were sutured to the flap. Finally we connected the vascular circulation loop to the flap's.

Oscar must wear a urinary catheter for 4 weeks until all wounds have healed. In 4-6 months he will have regained sensation in the reconstructed penis. The new penis is mobile and can be positioned attached to the leg or abdomen, holding it with ther hand at the time to keep the sexual act.

 

 

ASSEMBLY OF BONE STEM		SIZING THE FLAP
GRAFTS IN DONOR AREA		FINAL ASSEMBLY

 

          THIRD DAY

                Reconstruction of Philip's penis (total phalloplasty) with sensitive osteocutaneous radial free flap. The procedure was repeated adding the repair of urinary fistula in the perineum.

REPARATION OF URINARY FISTULA		BONE FLAP SEGMENT
SUTURE OF A BONE STEM TO CAVERNOUS BODIES		SENSITIVE RADIAL OSTEOCUTENEOUS FLAP

GURGICAL TEAM

 

 

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