Prevalence of complications of male circumcision in Anglophone Africa: a systematic review
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Muula, Adamson S, et al. Prevalence of Complications of Male Circumcision In Anglophone Africa: a Systematic Review. BioMed Central Ltd, 2007. https://doi.org/10.17615/qnns-0143APA
Muula, A., Prozesky, H., Mataya, R., & Ikechebelu, J. (2007). Prevalence of complications of male circumcision in Anglophone Africa: a systematic review. BioMed Central Ltd. https://doi.org/10.17615/qnns-0143Chicago
Muula, Adamson S, Hans W Prozesky, Ronald H Mataya, and Joseph I Ikechebelu. 2007. Prevalence of Complications of Male Circumcision In Anglophone Africa: a Systematic Review. BioMed Central Ltd. https://doi.org/10.17615/qnns-0143- Creator
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Muula, Adamson S
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
- Other Affiliation: Department of Community Health, University of Malawi, College of Medicine, Blantyre, Malawi
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Prozesky, Hans W
- Other Affiliation: Department of Medicine, Health Sciences Faculty, University of Stellenbosch, Tygerberg, South Africa
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Mataya, Ronald H
- Other Affiliation: Department of Global Health, School of Public Health, Loma Linda University, California, USA
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Ikechebelu, Joseph I
- Other Affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Mnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria
- Abstract
- Abstract Background There is growing evidence that male circumcision (MC) prevents heterosexual acquisition of HIV by males in sub-Saharan Africa, the region of the world heavily affected by the HIV pandemic. While there is growing support for wide-spread availability and accessibility of MC in Africa, there is limited discussion about the prevalence of physical complications of male circumcision on the continent. Methods A systematic literature search and review of articles in indexed journals and conference abstracts was conducted to collect and analyze prevalence of complications of MC in Anglophone sub-Saharan Africa. Information extracted included: indications for MC, complications reported, age of patients and category of circumcisers. Results There were 8 articles and 2 abstracts that were suitable for the analysis. The studies were not strictly comparable as some reported on a wide range of complications while others reported just a limited list of possible complications. Prevalence of reported complications of MC ranged from 0% to 50.1%. Excluding the study with 50.1%, which was on a series of haemophilia patients, the next highest prevalence of complications was 24.1%. Most of the complications were minor. There was no firm evidence to suggest that MCs performed by physician surgeons were associated with lower prevalence of complications when compared with non-physician health professionals. Conclusion The available data are inadequate to obtain a reasonable assessment of the prevalence of complications of MC in sub-Saharan Africa. Some of the available studies however report potentially significant prevalence of complications, though of minor clinical significance. This should be considered as public health policy makers consider whether to scale-up MC as an HIV preventative measure. Decision for the scale-up will depend on a careful cost-benefit assessment of which physical complications are certainly an important aspect. There is need for standardized reporting of complications of male circumcision.
- Date of publication
- March 2, 2007
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Adamson S Muula et al.; licensee BioMed Central Ltd.
- License
- Journal title
- BMC Urology
- Journal volume
- 7
- Journal issue
- 1
- Page start
- 4
- Language
- English
- Is the article or chapter peer-reviewed?
- Yes
- ISSN
- 1471-2490
- Bibliographic citation
- BMC Urology. 2007 Mar 02;7(1):4
- Publisher
- BioMed Central Ltd
- Access right
- Open Access
- Date uploaded
- August 24, 2012
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