Opinions and Perceptions Regarding Traditional Male Circumcision With Related Deaths and Complications

Douglas, Mbuyiselo; Maluleke, Thelmah Xavela; Manyaapelo, Thabang; Pinkney-Atkinson, Vicki

doi:10.1177/1557988317736991

Cited by 17 publications

(18 citation statements)

References 11 publications

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“…Our ndings of a lower prevalence of STIs in circumcised men are similar with the ndings from several RCTs (8) (10) (28) (33) (34). Several meta-analyses have con rmed the protective effect of male circumcision in in heterosexual males (35), in MSM (36) and in women (37). Our study adds to the body of knowledge by contributing ndings on the protective effect of male circumcision in heterosexual men in a high-risk mining town environment, as well as data on the prevalence of STIs in traditionally circumcised men.…”

Section: Discussionsupporting

confidence: 51%

A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

Iyemosolo

Chivese

Esterhuizen

2020

Preprint

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BackgroundSouth Africa has a persistent burden of sexually transmitted infections (STIs). Male circumcision has been shown to be effective in preventing HIV, and STIs but data are scarce on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to assess the effect of medical and traditional circumcision on the prevalence of STIs after adjusting for other risk factors in Rustenburg, a mining town in North West Province, South Africa.MethodsThis cross-sectional study used baseline data collected from a cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STIs were collected using an interviewer-administered questionnaire. Multivariable log binomial regression was used to assess the independent effect of circumcision on STI presence after adjusting for confounders.ResultsA total of 339 participants with a median age of 25 years (IQR 22-29) were included in the study, of whom 116 (34.2%) were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8% to 32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p<0.001). Both medical (OR 0.57, 95% CI 0.34-0.95, p = 0.030) and traditional circumcision (OR 0.34, 95% CI 0.13-0.86, p = 0.022) were strongly associated with a lower risk of STIs after adjustment for employment and condom use. ConclusionIn this high-risk population, with a relatively high prevalence of STIs, and where one third of males are circumcised, both medical and traditional circumcision appear to be protective against STIs.

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Section: Discussionsupporting

confidence: 51%

A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

Iyemosolo

Chivese

Esterhuizen

2020

Preprint

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“…Recent statistics that are available are for 2013 and only reflects the first season of initiation -June, while December data is not available. Notably, the statistics represent only the reported cases, while others remain unknown due to lack of disclosure by authorities and/or families [8]. The initiate's body dehydrates because it's unable to handle exposure to the sun or cold all day long [8].…”

Section: Health Risks During Traditional Circumcisionmentioning

confidence: 99%

“…Notably, the statistics represent only the reported cases, while others remain unknown due to lack of disclosure by authorities and/or families [8]. The initiate's body dehydrates because it's unable to handle exposure to the sun or cold all day long [8]. Initiates become significantly dehydrated during their first 2 weeks of seclusion in the belief that this would reduce leakage of the wound.…”

Section: Health Risks During Traditional Circumcisionmentioning

confidence: 99%

Opportunities for a Cloud Based Health Analytics as a Service for Eastern Cape Initiation Schools in South Africa

McGregor

Majola

2019

2019 IEEE 32nd International Symposium on Computer-Based Medical Systems (CBMS)

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Traditional male circumcision in the contemporary South Africa has become the focus of the government and media due to the large number of initiates severely injured or dying during the initiation period, which happens twice a year. Deaths and penile amputations are a feature of every circumcision season, as a result of sepsis, gangrene and dehydration amongst other diseases. This paper proposes a Cloud based Health Analytics as a Service for Eastern Cape initiation schools in South Africa to assist in saving lives and preserving the customs. The proposed Artemis platform will assist in acquiring physiological data of initiates before and during initiation to provide early insights of many conditions that can develop during initiation. Big data analytics based on Clinical Decision Support System such as Artemis provides real-time online analytics with knowledge extraction component that supports data mining and enables clinical research of various conditions. Conversely, Artemis has challenges for lower resource settings, which will be explored in this paper.

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“…Most often, this is done under religious and/or cultural obligations. During adolescence, circumcision is considered in some cultures as a rite of transition into adulthood [4,5]. The benefits of circumc-ision in medical science is highly debatable in several countries [1].…”

Section: Introductionmentioning

confidence: 99%

Successful Reconstruction of the Penile Skin Loss Using a Scrotal Flap as a Result of Complete Resection Following a Traditional Circumcision: A Case Report

Nwaha¹,

Sala²,

Tchuenkam³

et al. 2019

TOUNJ

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Background: Circumcision is the oldest and most common surgical procedure in the world. One out of three adult males is subjected to this procedure at some point in their lives. Circumcision is done for different reasons, most often to meet religious and/or cultural obligations. Though rare, there exist medical indications for this procedure. As in all surgical procedures, there are early or late complications or morbidities associated with circumcision ranging from mild to severe. The factors that influence the rate of occurrence of complications include: the surgical technique applied, the degree of asepsis during the procedure, and the expertise of the practitioner carrying out the procedure. Case Presentation: This is the case of a 20-year-old black male. He presented in the emergency department of the Douala Laquintinie Hospital (DLH) two hours after circumcision with persistent bleeding from the penile wound. This was performed by a traditional healer using the technique of guillotine. Examination of the external genitalia revealed a wound on the penis with loss of skin over the whole penile shaft. Under spinal anesthesia, a reconstruction intervention which involved a single step scrotal skin flap advancement over the penile shaft was done. We noted satisfactory healing process with a pleasing aesthetic appearance of the penis. He confirmed satisfactory penile erection and sexual activity two months after hospital discharge. Conclusion: Circumcision is a simple surgical procedure that can result to life threatening complications or high morbidity more often when performed by an unskilled practitioner. Education of the population on the safer sites of circumcision can help in the prevention and early management of complications.

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Opinions and Perceptions Regarding Traditional Male Circumcision With Related Deaths and Complications

Cited by 17 publications

References 11 publications

A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

Opportunities for a Cloud Based Health Analytics as a Service for Eastern Cape Initiation Schools in South Africa

Successful Reconstruction of the Penile Skin Loss Using a Scrotal Flap as a Result of Complete Resection Following a Traditional Circumcision: A Case Report

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