Abstract
ObjectiveThe objective of this study was to determine the long term adverse events profile at least a year after safe male circumcision.ResultsA cohort study, investigating patients who had undergone a non surgical circumcision procedure called Prepex. The study variables included scar appearance and sexual experiences. Clients were contacted for a phone interview and data were collected using a questionnaire, for some, a physical examination was done. We obtained ethical committee approval. Data from 304 out of a possible 625 men were analyzed, the rest was lost to follow up. The follow up period was 12–24 months. The mean age was 28 years. Up to 97% were satisfied with the penile scar appearance and the absence of pain. There was no keloids formation, though one developed a hypertrophic scar. Participants reported improved sexual intercourse enjoyment (post circumcision). Up to 17% resumed sexual intercourse before the 6-week long mandatory abstinence period. The average self-reported healing time was 4.7 weeks. There was a high level of scar appearance satisfaction, there was no keloids formation. There was a perceived improvement of sexual enjoyment after circumcision.Trial registration ClinicalTrials. Gov Identifier: NCT02245126 (Date of registration: September 19, 2014)
Highlights
PrePex like a few other non-surgical devices for voluntary medical male circumcision (VMMC) carries promise for scale up
There are increased efforts to scale up this MC intervention which has been proven to reduce the risk of contracting human immunodeficiency virus (HIV) by 60% or more [5,6,7]
Inclusion and exclusion criteria We included all clients that had undergone a voluntary PrePex circumcision during the study period. We excluded those who had PrePex initially and Results Of the 634 men who enrolled for the non surgical PrePex method of circumcision, 304 were enrolled in this evaluation after attempts to contact all of them were made
Summary
PrePex like a few other non-surgical devices for voluntary medical male circumcision (VMMC) carries promise for scale up. It has a low AE profile comparable to the conventional surgical circumcision. This low AE profile has been assessed for only the short and immediate term outcomes [1,2,3]. Many men seek to be circumcised to prevent HIV, and to improve their sexual experiences [8]. While the focus is currently on scaling up voluntary medical male circumcision (VMMC), there is a need to document men’s
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