A cross sectional study of the prevalence of preputial and penile scrotal abnormalities among clients undergoing voluntary medical male circumcision in Soweto, South Africa

Hillary Mukudu, Kennedy Otwombe, Fatima Laher, Erica Lazarus, Mmatsie Manentsa, Limakatso Lebina, Victor Mapulanga, Kasonde Bowa, Neil Martinson

Research output: Contribution to journalArticle

Abstract

Objective: Medical device use is currently approved for males without preputial or major penile scrotal abnormalities for voluntary medical male circumcision (VMMC). We determined the prevalence of preputial abnormalities at a busy VMMC centre in Soweto, South Africa. Methods: This was a cross-sectional record review at a high-volume VMMC centre in South Africa. We collated pre-circumcision demographic and genital examination findings from clients 8 years and older who had undergone VMMC from 01 May 2013 to 30 April 2014. Logistic regression was used to determine factors associated with preputial abnormalities. Findings: During the review period, 6861 circumcisions were conducted and 37.1% (n = 2543) were 8-13 year olds. Median age was 15 years (IQR: 12-23 years). Fifteen percent (n = 1030) had preputial abnormalities or major penile scrotal abnormalities. Age-specific prevalence of preputial or major genital abnormalities were 27.3%, 10.6% and 6.0% in 8-13, 14-18 and > 18 year olds respectively. The odds of preputial or major penile scrotal abnormality were higher in younger clients aged 8-13 years (OR = 5.9; 95% CI = 4.8-7.1) and 14-18 years (OR = 1.9; 95% CI = 1.5-2.4) compared to older clients above18 years and in those testing for HIV outside our clinic network (OR = 1.9; 95% CI = 1.4-2.7). Conclusion: The high prevalence of preputial and penile scrotal abnormalities observed suggests a need for VMMC sites to provide for both open surgical and devices methods in the provision of VMMC services. This is especially so among young male subjects presenting themselves for VMMC services at the various sites being developed in sub Saharan African countries.

Original languageEnglish (US)
Article numbere0156265
JournalPLoS One
Volume11
Issue number6
DOIs
StatePublished - Jun 1 2016
Externally publishedYes

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Male Circumcision
South Africa
cross-sectional studies
Cross-Sectional Studies
Logistics
Testing
genitalia
Equipment and Supplies
medical equipment
Logistic Models
Demography
HIV
demographic statistics

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

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A cross sectional study of the prevalence of preputial and penile scrotal abnormalities among clients undergoing voluntary medical male circumcision in Soweto, South Africa. / Mukudu, Hillary; Otwombe, Kennedy; Laher, Fatima; Lazarus, Erica; Manentsa, Mmatsie; Lebina, Limakatso; Mapulanga, Victor; Bowa, Kasonde; Martinson, Neil.

In: PLoS One, Vol. 11, No. 6, e0156265, 01.06.2016.

Research output: Contribution to journalArticle

Mukudu, Hillary ; Otwombe, Kennedy ; Laher, Fatima ; Lazarus, Erica ; Manentsa, Mmatsie ; Lebina, Limakatso ; Mapulanga, Victor ; Bowa, Kasonde ; Martinson, Neil. / A cross sectional study of the prevalence of preputial and penile scrotal abnormalities among clients undergoing voluntary medical male circumcision in Soweto, South Africa. In: PLoS One. 2016 ; Vol. 11, No. 6.
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abstract = "Objective: Medical device use is currently approved for males without preputial or major penile scrotal abnormalities for voluntary medical male circumcision (VMMC). We determined the prevalence of preputial abnormalities at a busy VMMC centre in Soweto, South Africa. Methods: This was a cross-sectional record review at a high-volume VMMC centre in South Africa. We collated pre-circumcision demographic and genital examination findings from clients 8 years and older who had undergone VMMC from 01 May 2013 to 30 April 2014. Logistic regression was used to determine factors associated with preputial abnormalities. Findings: During the review period, 6861 circumcisions were conducted and 37.1{\%} (n = 2543) were 8-13 year olds. Median age was 15 years (IQR: 12-23 years). Fifteen percent (n = 1030) had preputial abnormalities or major penile scrotal abnormalities. Age-specific prevalence of preputial or major genital abnormalities were 27.3{\%}, 10.6{\%} and 6.0{\%} in 8-13, 14-18 and > 18 year olds respectively. The odds of preputial or major penile scrotal abnormality were higher in younger clients aged 8-13 years (OR = 5.9; 95{\%} CI = 4.8-7.1) and 14-18 years (OR = 1.9; 95{\%} CI = 1.5-2.4) compared to older clients above18 years and in those testing for HIV outside our clinic network (OR = 1.9; 95{\%} CI = 1.4-2.7). Conclusion: The high prevalence of preputial and penile scrotal abnormalities observed suggests a need for VMMC sites to provide for both open surgical and devices methods in the provision of VMMC services. This is especially so among young male subjects presenting themselves for VMMC services at the various sites being developed in sub Saharan African countries.",
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AU - Mukudu, Hillary

AU - Otwombe, Kennedy

AU - Laher, Fatima

AU - Lazarus, Erica

AU - Manentsa, Mmatsie

AU - Lebina, Limakatso

AU - Mapulanga, Victor

AU - Bowa, Kasonde

AU - Martinson, Neil

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AB - Objective: Medical device use is currently approved for males without preputial or major penile scrotal abnormalities for voluntary medical male circumcision (VMMC). We determined the prevalence of preputial abnormalities at a busy VMMC centre in Soweto, South Africa. Methods: This was a cross-sectional record review at a high-volume VMMC centre in South Africa. We collated pre-circumcision demographic and genital examination findings from clients 8 years and older who had undergone VMMC from 01 May 2013 to 30 April 2014. Logistic regression was used to determine factors associated with preputial abnormalities. Findings: During the review period, 6861 circumcisions were conducted and 37.1% (n = 2543) were 8-13 year olds. Median age was 15 years (IQR: 12-23 years). Fifteen percent (n = 1030) had preputial abnormalities or major penile scrotal abnormalities. Age-specific prevalence of preputial or major genital abnormalities were 27.3%, 10.6% and 6.0% in 8-13, 14-18 and > 18 year olds respectively. The odds of preputial or major penile scrotal abnormality were higher in younger clients aged 8-13 years (OR = 5.9; 95% CI = 4.8-7.1) and 14-18 years (OR = 1.9; 95% CI = 1.5-2.4) compared to older clients above18 years and in those testing for HIV outside our clinic network (OR = 1.9; 95% CI = 1.4-2.7). Conclusion: The high prevalence of preputial and penile scrotal abnormalities observed suggests a need for VMMC sites to provide for both open surgical and devices methods in the provision of VMMC services. This is especially so among young male subjects presenting themselves for VMMC services at the various sites being developed in sub Saharan African countries.

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