Case series of glans injuries during voluntary medical male circumcision for HIV prevention — eastern and southern Africa, 2015–2018

Table 2 Circumstances surrounding glans injuries occurring within PEPFAR-supported VMMC programs, 2015–2018

	Number (%), N = 36
Patient age in years
Median (25, 75%)	10 (10, 11)
Mean (range)	10 (< 1–14)
Mode (n = 19)	10
Time of day glans injury occurred
8 am – Noon	7 (19)
Noon – 4 pm	13 (36)
After 4 pm	8 (22)
Unknown	8 (12)
Cadre type of VMMC provider
Physician	8 (22)
Clinical Officer/ Clinical Associate	8 (22)
Nurse	4 (11)
Other	1 (3)
Unknown	15 (42)
Training of VMMC provider in DS method¹
Adequate	2 (6)
Inadequate	5 (14)
Unknown	29 (81)
Reported over-worked environment during glans injury²
Yes	9 (25)
No mention	21 (58)
Record unavailable	6 (17)
Possible attempt to conceal information³
Yes, inaccurate documentation	11 (31)
Yes, failure to report as required	3 (8)
No	16 (44)
Unknown	6 (17)
Specialty of referral provider
Urologist	17 (47)
Pediatric Surgeon	8 (22)
Other Surgeon	2 (6)
Unknown	3 (8)
Not or unknown if referred	6 (17)

¹Adequate = AE report indicates adequate training for dorsal slit method, inadequate = report indicates that there was a lack of adequate training, unknown = no mention of training in the report
²Documentation of a concern that a heavy workload may have been a contributing factor to the glans injury
³Documentation of a concern that VMMC provider or clinic attempted to hide or alter evidence concerning the glans injury (for example, documenting DS method when FG method was actually performed)

ISSN: 1471-2490