Rapid, minimally invasive adult voluntary male circumcision: A randomised trial
| Autor: | Peter S Millard, Hannah R Wilson, Peter Veldkamp, Nádia Sitoe |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Operative Time 030232 urology & nephrology Psychological intervention law.invention Young Adult 03 medical and health sciences Foreskin 0302 clinical medicine Patient satisfaction Randomized controlled trial law medicine Humans Minimally Invasive Surgical Procedures Young adult Adverse effect Retrospective Studies business.industry Retrospective cohort study General Medicine 3. Good health Surgery Treatment Outcome medicine.anatomical_structure Circumcision Male Patient Satisfaction Cyanoacrylate 030220 oncology & carcinogenesis business Follow-Up Studies |
| Zdroj: | SAMJ: South African Medical Journal, Volume: 103, Issue: 10, Pages: 736-742, Published: 2013 South African Medical Journal; Vol 103, No 10 (2013); 736-741 |
| ISSN: | 2078-5135 |
| DOI: | 10.7196/samj.6856 |
| Popis: | Background. Voluntary medical male circumcision (VMMC) is a priority HIV preventive intervention. To facilitate male circumcision scale- up, the World Health Organization is actively seeking circumcision techniques that are quicker, easier, and safer than open surgical methods. Objective. To compare conventional open surgical circumcision with suturing with a minimally invasive technique using the Gomco circumcision clamp plus tissue adhesive. Methods. We conducted a non-blinded randomised controlled trial comprising 200 male volunteers >18 years of age, seen at the outpatient university teaching clinic of the Catholic University of Mozambique. We compared two interventions – open surgical circumcision with suturing v. Gomco instrument plus tissue adhesive. Our primary outcome was intraoperative time and our secondary outcomes included: ease of performance, post-operative pain, adverse events, time to healing, patient satisfaction and cosmetic result. Results. The intraoperative time was less with the Gomco/tissue adhesive technique (mean 12.8 min v. 22.5 min; p |
| Databáze: | OpenAIRE |
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