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PrePex Male Circumcision: Follow-Up and Outcomes during the First Two Years of Implementation at the Rwanda Military Hospital

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  • Albert Ndagijimana
  • Pacifique Mugenzi
  • Dana R Thomson
  • Bethany Hedt-Gauthier
  • Jeanine U Condo
  • Eugene Ngoga

Abstract

Background: PrePex Male Circumcision (MC) has been demonstrated as an effective and scalable strategy to prevent HIV infection in low- and middle-income countries. This study describes the follow-up and outcomes of clients who underwent PrePex MC between January 2011 and December 2012 with weekly follow-up at the Rwanda Military Hospital, the first national hospital in Rwanda to adopt PrePex. Methods: Data on570 clients age 21 to 54 were extracted from patient records. We compared socio-demographic and clinical characteristics, the operator's qualification, HIV status, pain before and after device removal, urological status, device size and follow-up time between clients who were formally discharged and those who defaulted. We reported bivariate associations between each covariate and discharge status, number of people with adverse events by discharge status, and time to formal discharge or defaulting using life table methods. Data were entered into Epidata and analyzed with Stata v13. Results: Among study participants, 96.5% were circumcised by non-physician operators, 85.4%were under 30years, 98.9% were HIV-negative and 97.9% were without any urological problems that could delay the healing time. Most (70.7%) defaulted before formal discharge. Pain before (p

Suggested Citation

  • Albert Ndagijimana & Pacifique Mugenzi & Dana R Thomson & Bethany Hedt-Gauthier & Jeanine U Condo & Eugene Ngoga, 2015. "PrePex Male Circumcision: Follow-Up and Outcomes during the First Two Years of Implementation at the Rwanda Military Hospital," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-9, September.
    • Handle: RePEc:plo:pone00:0138287
    DOI: 10.1371/journal.pone.0138287
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