Voluntary male medical circumcision of pre-school-aged boys in primary care
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Voluntary male medical circumcision of pre-school-aged boys in primary care | |
| Creator | Goldstuck, Norman D. Millard, Peter S. | |
| Description | Voluntary medical male circumcision (VMMC) is a priority human immunodeficiency virus (HIV) preventive intervention. Challenges in funding national VMMC programmes mandate us to adopt new methods to provide circumcisions in a primary care setting. This study aims to test the practicality of instrument-assisted circumcision in primary care in pre-school-age boys. The study setting was one primary care centre in Western Cape, South Africa. The methodology adopted is prospective case series of minimally invasive voluntary circumcision using the Unicirc instrument in boys less than 6 years of age. We circumcised 221 healthy boys using the Unicirc instrument, using a combination of topical anaesthetic, subcutaneous local anaesthetic and intramuscular ketamine. There were 5 (2.3%) mild complications and 48 (21.7%) had mucosal swelling as a result of lysis of physiological phimosis. All boys were fully healed at 2 weeks and all caregivers were highly satisfied. Using a circumcision instrument in primary care simplifies circumcision in pre-school-age boys and has a low rate of adverse events. This study demonstrates that a new model of circumcision in primary care may enhance national VMMC programmes. | |
| Publisher | AOSIS | |
| Date | 2025-11-04 | |
| Identifier | 10.4102/phcfm.v17i1.5039 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 3 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/5039/8781
https://phcfm.org/index.php/phcfm/article/view/5039/8782
https://phcfm.org/index.php/phcfm/article/view/5039/8783
https://phcfm.org/index.php/phcfm/article/view/5039/8784
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