A five-year-old male was found abandoned by the roadside with hours after his genitalia was crudely severed off, he was bleeding and had herbs strapped onto the perineum. Given the local community association of the genital mutilation with witchcraft practices, this child was first taken to a traditional healer for wound care. Perhaps with the help of herbs and local pressure application, the acute state of bleeding was controlled. The wound healed with scarring over the meatal stump and scrotal region. The child was weeks later dropped at the gate of one of the non-governmental organizations (NGO) in the community, upon which the NGO personnel took up care for the child. Reason could have been the traditional healer could not resolve the complications that had occurred concerning difficulty in passing urine. The NGO personnel consulted with local clinics for a period of a year or so, treating the frequent fevers and lower abdominal pain. Upon the realization that the boy’s condition was not resolving, a decision was made to self refer to a higher level facility. A history of difficulty (excessive strain) in passing urine and urinary frequency were volunteered. Recurrent fevers, abdominal discomfort/pain and a sense of incomplete voiding of urine were reported. Noteworthy the fevers had been treated as malaria and the child was unable to give information or responded to questions of how the attack happened and who did it and what had transpired thereafter. He was orphaned (both parents) and taken care by close relatives (whose details were scanty). The child was normal looking, healthy but lean with average intelligence and no features suggestive of mental disorders. There was no external genitalia, there was complete healing and scarring with no features of wound infection. The child was admitted to hospital for reconstruction to ease micturition difficulty. Cosmetic operations and HRT were postponed for a later date given the young age of the patient. The initial appearance was a T-shaped scar in the perineal area with stenotic urethral orifice in the center. The scar was excised and a 3 cm penile stump though it was devoid of a glans penis. Half a centimeter of the distal urethra was split open at six o’clock supine position. The side edges were sutured onto the side using 4/0 vicryl, creating a hypospadias. An 8 F Forey’s catheter which was cut to the length of 6 cm was left in the distal urethra as a stent to prevent steriosis as a consequence of tossie swelling or scarring of the neomeatus. The penile stump was grafted with partial thickness skin graft, harvested from the medial aspect of patient’s right thigh. The wound dressing and urethral catheter left in the situ were removed on the seventh post-operative day. The graft and urethral orifice healed well. The patient was able to void with a good urinary stream. Six months later, there weren’t any functional (voiding) problems.