Complications of high volume circumcision: glans amputation in adolescents; a case report
Abstract Background The past four years has seen a rapid roll-out of male medical circumcision services in South Africa in response to clinical trials showing circumcision prevents HIV acquisition in heterosexual men. Clinics conduct substantial numbers of circumcisions per day. We report three case...
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doaj-a1b28aa8d88c42f9948cad145a1591a72020-11-25T03:32:34ZengBMCBMC Urology1471-24902019-07-011911410.1186/s12894-019-0462-8Complications of high volume circumcision: glans amputation in adolescents; a case reportMmatsie Manentsa0Hilary Mukudu1Nthabiseng Koloane2Ashley Ringane3Eleanor Matta4Neil A. Martinson5Limakatso Lebina6Perinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandPerinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandPerinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandPerinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandPerinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandPerinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandPerinatal HIV Research Unit (PHRU), SA MRC Soweto Matlosana Collaborating Centre for HIV/AIDS and TB, University of the WitwatersrandAbstract Background The past four years has seen a rapid roll-out of male medical circumcision services in South Africa in response to clinical trials showing circumcision prevents HIV acquisition in heterosexual men. Clinics conduct substantial numbers of circumcisions per day. We report three cases of glans amputation in adolescents attending high volume clinics where modified Models of Optimising Volume and Efficiency (MOVE) are implemented. Case presentations Three cases of glans amputation in young healthy men that presented for voluntary medical male circumcision. The procedures were performed by highly experienced medical officers in two cases. All these cases shared characteristics: younger males with immature genitalia, forceps guided circumcision, and likely operator fatigue. Voluntary male medical circumcision programs should include regular monitoring and evaluation and training of operators to ensure high quality surgical techniques such as working in clean areas and taking frequent breaks. Conclusion Circumcision is a relatively simple medical procedure, however regular training and quality control in high volume Male Medical Circumcision sites is essential to prevent rare catastrophic adverse events.http://link.springer.com/article/10.1186/s12894-019-0462-8MMCAdverse eventsHIV preventionSurgical circumcision |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mmatsie Manentsa Hilary Mukudu Nthabiseng Koloane Ashley Ringane Eleanor Matta Neil A. Martinson Limakatso Lebina |
spellingShingle |
Mmatsie Manentsa Hilary Mukudu Nthabiseng Koloane Ashley Ringane Eleanor Matta Neil A. Martinson Limakatso Lebina Complications of high volume circumcision: glans amputation in adolescents; a case report BMC Urology MMC Adverse events HIV prevention Surgical circumcision |
author_facet |
Mmatsie Manentsa Hilary Mukudu Nthabiseng Koloane Ashley Ringane Eleanor Matta Neil A. Martinson Limakatso Lebina |
author_sort |
Mmatsie Manentsa |
title |
Complications of high volume circumcision: glans amputation in adolescents; a case report |
title_short |
Complications of high volume circumcision: glans amputation in adolescents; a case report |
title_full |
Complications of high volume circumcision: glans amputation in adolescents; a case report |
title_fullStr |
Complications of high volume circumcision: glans amputation in adolescents; a case report |
title_full_unstemmed |
Complications of high volume circumcision: glans amputation in adolescents; a case report |
title_sort |
complications of high volume circumcision: glans amputation in adolescents; a case report |
publisher |
BMC |
series |
BMC Urology |
issn |
1471-2490 |
publishDate |
2019-07-01 |
description |
Abstract Background The past four years has seen a rapid roll-out of male medical circumcision services in South Africa in response to clinical trials showing circumcision prevents HIV acquisition in heterosexual men. Clinics conduct substantial numbers of circumcisions per day. We report three cases of glans amputation in adolescents attending high volume clinics where modified Models of Optimising Volume and Efficiency (MOVE) are implemented. Case presentations Three cases of glans amputation in young healthy men that presented for voluntary medical male circumcision. The procedures were performed by highly experienced medical officers in two cases. All these cases shared characteristics: younger males with immature genitalia, forceps guided circumcision, and likely operator fatigue. Voluntary male medical circumcision programs should include regular monitoring and evaluation and training of operators to ensure high quality surgical techniques such as working in clean areas and taking frequent breaks. Conclusion Circumcision is a relatively simple medical procedure, however regular training and quality control in high volume Male Medical Circumcision sites is essential to prevent rare catastrophic adverse events. |
topic |
MMC Adverse events HIV prevention Surgical circumcision |
url |
http://link.springer.com/article/10.1186/s12894-019-0462-8 |
work_keys_str_mv |
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