Table 6

Frequency of complications in studies of adolescent and adult circumcision

Author

Country

Years

Setting

N

Age

Provider

Method

Indication

Follow-up period

Frequency of adverse eventsa

Frequency of serious adverse eventsb


Auvert [14]

South Africa

2002-2004

GP offices

1495 HIV neg

18-24 years

GPs

Forceps guided

Enrolled in trial

1 month

3.6%

-


Auvert [14]

South Africa

2002-2004

GP offices

73 HIV positive

18-24 years

GPs

Forceps guided

Enrolled in trial

1 month

8.2%

-


Bailey [60]

Kenya

2004

Home or community

445

66% aged below 15 years

Traditional

-

Cultural

30-89 days

35%

24%c


Bailey [60]

Kenya

2004

Home or community

12

Traditional

-

Cultural

~3 months

83%

33%d


Bailey [60]

Kenya

2004

Hospital, health centre, or private office

562

90% aged below 15 years

Cliniciane

-

Cultural

30-89 days

18%f

19%h


Bailey [60]

Kenya

2004

Hospital, health centre, or private office

12

-

Clinicianj

-

Cultural

~3 months

92%e

25%i


Bowa [78]

Zambia

2004-2006

Urology outpatient clinic

900

5 months to 96 years

Trained clinical officer

Dorsal slit method

Cultural

8 weeks

3.0%

0.06% at 8 weeks


Kigozi [62]

Uganda

2003-2005

Trial operating theatre

2326 HIV neg

15-49 years

Trained physician

Sleeve method/

Enrolled in trial

6 weeks

7.4%

0.2% severe

3.3% moderate


Kigozi [62]

Uganda

2003-2006

Trial operating theatre

420 HIV positive

15-49 years

Trained physician

Sleeve method/

Enrolled in trial

6 weeks

6.0%

0% severe

(3.1% moderate)


Krieger[61]

Kenya

2002-2005

Trial clinic

1475

18-24 years

Medical and clinical officers

Forceps guided

Enrolled in trial

90 days

1.8%

0% severe

(0.7% moderate)


Magoha [79]

Nigeria & Kenya

1981-1998

Hospital

249

32% neonates

6% children

61% adolescent/adult

Surgeon

Forceps guided

72% Cultural/religious

12% Parental request

16% Medical

-

11%

2.8% severeg


Peltzer[80]

South Africa

78

Median 19 years

(range 16-25)

Doctors and nurses following 1 day training

Cultural (Xhosa initiat

-

3.8%

0%


a Cases of minor bleeding stopped with simple pressure or 'conservative management' and excessive foreskin/inadequate circumcision are not included

b Includes complications defined as 'serious' or 'severe' by authors, or with long-term or life-threatening sequalae (partial amputation of glans, urethral laceration, need for re-surgery or plastic surgery)

c Wound not healed at 60 days after surgery

d Permanent adverse sequale

e Anyone considered by the participant to be a clinician

f Including an unknown number with residual foreskin

g Includes severe haemorrhage (n = 3), scrotal laceration (n = 2), penile shaft denudation (n = 1) and glandular injury (n = 1).

Weiss et al. BMC Urology 2010 10:2   doi:10.1186/1471-2490-10-2

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