18 FREQUENT OCCURRENCE OF SELF-IDENTIFIED PENILE COITAL INJURIES IN HEALTHY YOUNG MEN: PROTECTIVE EFFECT OF CIRCUMCISION

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-based Medicine & Outcomes I1 Apr 201018 FREQUENT OCCURRENCE OF SELF-IDENTIFIED PENILE COITAL INJURIES IN HEALTHY YOUNG MEN: PROTECTIVE EFFECT OF CIRCUMCISION John Krieger, Supriya Mehta, Stephen Moses, Kawango Agot, Jeckoniah Ndinya-Achola, Corette Parker, and Robert Bailey John KriegerJohn Krieger Seattle, WA More articles by this author , Supriya MehtaSupriya Mehta Chicago, IL More articles by this author , Stephen MosesStephen Moses Winnipeg, Canada More articles by this author , Kawango AgotKawango Agot Kisumu, Kenya More articles by this author , Jeckoniah Ndinya-AcholaJeckoniah Ndinya-Achola Nairobi, Kenya More articles by this author , Corette ParkerCorette Parker Research Triangle Park, NC More articles by this author , and Robert BaileyRobert Bailey Chicago, IL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.061AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To identify factors associated with penile coital injuries in healthy men aged 18-24 enrolled in a randomized trial of circumcision to prevent HIV infection in Kisumu, Kenya. METHODS Participants underwent personal interview, medical history and examination at baseline and 6, 12, 18, and 24 months. Reported coital injuries occurring in the past 6 months were assessed at each visit: penis feels sore during sex; penis gets scratches, cuts or abrasions during sex; skin of penis bleeds after sex. Generalized estimating equation analysis estimated odds ratios (OR) for reported penile coital injuries by circumcision status, behavioral risks, and lab diagnosed sexually transmitted infection (STI) as time-varying covariates except HSV-2 serostatus and age at baseline. RESULTS February 2002-September 2005, 2,784 participants were randomized and 2,757 answered all penile injury questions at baseline. There were 1,775 men who reported any coital injury: 1,313 (47.6%) soreness; 1,328 (48.2%) scratches, abrasions, or cuts; and 461 (16.7%) bleeding. For the circumcision and control groups, respectively, report of any injury decreased from 65.1% and 64.0% at baseline to 31.3% and 42.1% at month 24. In multivariable analysis, the risk of coital injury over time was significantly lower for circumcised than for uncircumcised men: soreness [OR=0.71, 95% CI 0.64-0.80], scratches/abrasions/cuts [OR=0.52, 95% CI 0.46-0.59], bleeding [OR=0.62, 95% CI 0.51-0.75], or any coital injury [OR=0.61, 95% CI 0.54-0.68]. Other significant risks (p<0.05) included: increasing age (OR=1.07), multiple recent sex partners (OR=1.38), HSV-2 seropositivity (OR=1.37), and genital ulcers (OR=1.72). Condom use (OR=0.78), cleaning the penis soon after intercourse (OR=0.85), and being married/cohabiting (OR=0.76) were protective. CONCLUSIONS Self-reported penile coital injuries were common in these healthy young men. Circumcised men were at lower risk for coital injuries, though their prevalence of injuries remained high. Risk factors associated with penile coital injury were similar to risk factors for STI and HIV. Verifying penile coital injuries and the mechanism of acquisition are necessary to understand how penile coital injuries might increase STI and HIV risk © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e8 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information John Krieger Seattle, WA More articles by this author Supriya Mehta Chicago, IL More articles by this author Stephen Moses Winnipeg, Canada More articles by this author Kawango Agot Kisumu, Kenya More articles by this author Jeckoniah Ndinya-Achola Nairobi, Kenya More articles by this author Corette Parker Research Triangle Park, NC More articles by this author Robert Bailey Chicago, IL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...