Adult Male Circumcision Outcomes: Experience in a Developing Country SettingKrieger J.N. · Bailey R.C. · Opeya J.C. · Ayieko B.O. · Opiyo F.A. · Omondi D. · Agot K. · Parker C. · Ndinya-Achola J.O. · Moses S.
aDepartment of Urology, University of Washington, Seattle, Wash., bDivision of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, Ill., and cRTI International, Research Triangle Park, N.C., USA; dUNIM Project, Kisumu, and eDepartment of Medical Microbiology, University of Nairobi, Nairobi, Kenya; fDepartment of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada
Introduction: We examined male circumcision outcomes among young adults in an African setting. Materials and Methods: Participants were healthy, sexually active, uncircumcised, HIV-seronegative males aged 18–24 years. The main outcomes measured included complications, healing, satisfaction and resumption of activities. Results: Of 1,475 procedures, 26 (1.8%) were associated with 27 adverse events, most commonly wound disruption/delayed healing (0.6%), wound infection (0.4%), and bleeding (0.3%). Adverse events per clinician averaged 3.8 and 2.1% for procedures 1–100 and 101–200, respectively, and <1% for procedures 201–300, 301–400 and >400, respectively (p < 0.001). Participants resumed normal general activities after a median of 1 postoperative day and 93% with regular employment resumed working within 1 week. After 30 days, 99% of participants reported being very satisfied. After 90 days, 65% reported having had sex, 45% reported that their partners had expressed an opinion, 92% of whom were very satisfied with the outcome. Conclusions: Safe and acceptable adult male circumcision services can be delivered in developing country settings.
John N. Krieger
Department of Urology, University of Washington School of Medicine
Box 356510, Seattle, WA 98195 (USA)
Tel. +1 206 543 3640, Fax +1 206 764 2239
Received: July 3, 2006
Accepted: August 2, 2006
Number of Print Pages : 6
Number of Figures : 1, Number of Tables : 0, Number of References : 22
Vol. 78, No. 3, Year 2007 (Cover Date: April 2007)
Journal Editor: Hakenberg, O.W. (Rostock)
ISSN: 0042–1138 (print), 1423–0399 (Online)
For additional information: http://www.karger.com/UIN