PLoS ONE (Jan 2017)

A prospective cohort study of safety and patient satisfaction of voluntary medical male circumcision in Botswana.

  • Kathleen E Wirth,
  • Bazghina-Werq Semo,
  • Lisa P Spees,
  • Conrad Ntsuape,
  • Scott Barnhart,
  • Jenny H Ledikwe

DOI
https://doi.org/10.1371/journal.pone.0185904
Journal volume & issue
Vol. 12, no. 11
p. e0185904

Abstract

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Randomized trials have shown that voluntary medical male circumcision (VMMC) significantly reduces the risk of HIV acquisition in men. However, the rate of complications associated with the surgical procedure varies from 0.7% to 37.4% in real-world settings. We assessed the frequency, type and severity of adverse events following VMMC among 427 adult men surgically circumcised in southeastern Botswana; 97% completed ≥1 follow-up visit within seven days post-circumcision. Thirty moderate AEs were observed in 28 men resulting in an overall AE rate of 6.7%. Patient satisfaction was high: >95% were very or somewhat satisfied with the procedure and subsequent follow-up care.