Adult male circumcision outcomes: experience in a developing country setting.
BACKGROUND
We examined male circumcision outcomes among young adults in an African setting.


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.
Krieger
John N
JN
Department of Urology, University of Washington, Seattle, WA 98195, USA. jkrieger@u.washington.edu
Bailey
Robert C
RC
Opeya
John C
JC
Ayieko
Benard O
BO
Opiyo
Felix A
FA
Omondi
Dickens
D
Agot
Kawango
K
Parker
Corette
C
Ndinya-Achola
J O
JO
Moses
Stephen
S
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002944:Circumcision, Male / Q000009:adverse effects*; D003906:Developing Countries; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D007630:Kenya; D008297:Male