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

PLoS One. 2017 Nov 7;12(11):e0185904. doi: 10.1371/journal.pone.0185904. eCollection 2017.

Abstract

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.

MeSH terms

  • Adult
  • Botswana
  • Circumcision, Male* / adverse effects
  • Circumcision, Male* / standards
  • Elective Surgical Procedures*
  • Humans
  • Male
  • Patient Safety*
  • Patient Satisfaction*
  • Prospective Studies

Grants and funding

This project was supported by the President’s Emergency Plan for AIDS Relief (PEPFAR), through funding to the University of Washington and I-TECH from the US Department of Health and Human Services, Health Resources and Services Administration (HRSA) Global HIV/AIDS Bureau under Cooperative Agreement No. U91HA06801. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.