SynthesisBMC urology2007
Prevalence of complications of male circumcision in Anglophone Africa: a systematic review.
Synthesis in BMC urology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Incidence and predictors of postoperative complications in Sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in health services · 2024Pooled it
- Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications.Bulletin of the World Health Organization · 2010Pooled it
- Complications of circumcision in male neonates, infants and children: a systematic review.BMC urology · 2010Pooled it
- The safety of adult male circumcision in HIV-infected and uninfected men in Rakai, Uganda.PLoS medicine · 2008Trial
- Comparing Penile Problems in Circumcised vs. Uncircumcised Boys: Insights From a Large Commercial Claims Database With a Focus on Provider Type Performing Circumcision.Journal of pediatric surgery · 2024Article
- Comparison of ring instruments and classic circumcision methods: a systematic review and meta-analysis.Arab journal of urology · 2022Review
- Article
- Motivators and barriers to uptake of post-operative voluntary medical male circumcision follow-up in Yala division, Siaya County, Kenya.The Pan African medical journal · 2016Article
- Does HIV Exploit the Inflammatory Milieu of the Male Genital Tract for Successful Infection?Frontiers in immunology · 2016Review
- Social representations of male circumcision as prophylaxis against HIV/AIDS in Zimbabwe.BMC public health · 2015Article
- Article
- Male circumcision for protection against HIV infection in sub-Saharan Africa: the evidence in favour justifies the implementation now in progress.Global public health · 2015Article
- Non-therapeutic male circumcision performed on immigrant children from Africa in Spain.International journal of public health · 2014Article
- Article
- Low adverse event rates following voluntary medical male circumcision in a high HIV disease burden public sector prevention programme in South Africa.Journal of the International AIDS Society · 2014Article
- Translation of biomedical prevention strategies for HIV: prospects and pitfalls.Journal of acquired immune deficiency syndromes (1999) · 2013Review
- Epidemiology of Circumcision-Related Mortality in Iran: A 10-year Survey.North American journal of medical sciences · 2012Article
- Factors associated with the safety of voluntary medical male circumcision in Nyanza province, Kenya.Bulletin of the World Health Organization · 2012Article
- Penile epidermal inclusion cyst.Case reports in urology · 2012Article
- Male circumcision uptake, postoperative complications, and satisfaction associated with mid-level providers in rural Kenya.HIV/AIDS (Auckland, N.Z.) · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is growing evidence that male circumcision (MC) prevents heterosexual acquisition of HIV by males in sub-Saharan Africa, the region of the world heavily affected by the HIV pandemic. While there is growing support for wide-spread availability and accessibility of MC in Africa, there is limited discussion about the prevalence of physical complications of male circumcision on the continent.
methodsA systematic literature search and review of articles in indexed journals and conference abstracts was conducted to collect and analyze prevalence of complications of MC in Anglophone sub-Saharan Africa. Information extracted included: indications for MC, complications reported, age of patients and category of circumcisers.
resultsThere were 8 articles and 2 abstracts that were suitable for the analysis. The studies were not strictly comparable as some reported on a wide range of complications while others reported just a limited list of possible complications. Prevalence of reported complications of MC ranged from 0% to 50.1%. Excluding the study with 50.1%, which was on a series of haemophilia patients, the next highest prevalence of complications was 24.1%. Most of the complications were minor. There was no firm evidence to suggest that MCs performed by physician surgeons were associated with lower prevalence of complications when compared with non-physician health professionals.
conclusionThe available data are inadequate to obtain a reasonable assessment of the prevalence of complications of MC in sub-Saharan Africa. Some of the available studies however report potentially significant prevalence of complications, though of minor clinical significance. This should be considered as public health policy makers consider whether to scale-up MC as an HIV preventative measure. Decision for the scale-up will depend on a careful cost-benefit assessment of which physical complications are certainly an important aspect. There is need for standardized reporting of complications of male circumcision.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.