John N. Krieger1, Robert C. Bailey2, John C. Opeya3, Benard Ayieko3, Felix Opiyo3, Dickens Omondi3, Kawango Agot3, Corette B. Parker4, Jeckoniah Ndinya‐Achola5, Stephen Moses6
1Department of Urology University of Washington, Seattle, WA, 98195, USA
2University of Illinois at Chicago
3UNIM Project
4Research Triangle Institute, International
5University of Nairobi
6University of Manitoba
Tóm tắt
<i>Introduction:</i> We examined male circumcision outcomes among young adults in an African setting. <i>Materials and Methods:</i> 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. <i>Results:</i> 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. <i>Conclusions:</i> Safe and acceptable adult male circumcision services can be delivered in developing country settings.
