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The Eastern Cape Province of South Africa is the home of the Xhosa people. The culture of the Xhosa includes many traditional practices, including a rite of passage to manhood called ''Ulwaluko''. Ulwaluko includes a circumcision by a traditional practitioner. The circumcisions are not performed in accordance with modern medical practice. They are notorious for loss of penile skin, [[infection]], [[gangrene]], '''total loss of the penis''', and even [[death]].<ref>{{REFweb