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Table 1 Pre- and intra-operative circumstances surrounding fistulas in PEPFAR-supported VMMC programs

From: Urethrocutaneous fistulas after voluntary medical male circumcision for HIV prevention—15 African Countries, 2015–2019

 

Number (%), N = 41

Patient age in years

 

 Median (25%, 75%)

11 (10, 13)

 Mean (range)

11.8 (6–25)

 Modes (n = 10 each)

10, 11

Facility type

 Outreach

21 (51)

 Static

15 (37)

 Mobile

2 (5)

 Unknown

3 (7)

Cadre Type of VMMC provider

 Nurse

7 (17)

 Physician

5 (12)

 Clinical Officer/ Clinical Associate

3 (7)

 Assistant Medical Officer

1 (2)

 Unknown

25 (61)

Voluntary medical male circumcision method

 Dorsal slit

35 (85)

 Forceps guided

2 (5)

 Unknown

4 (10)

Use of diathermy documented

 Yes

6 (15)

 No

11 (27)

 Not mentioned

24 (59)

Among those completing WHO form (n = 12)

Frenular bleeding

 Yes

1 (8)

 No

11 (92)

Length of MC provider experience

 6 months

3 (25)

 About a year

2 (17)

 About 2 years

2 (17)

 3 years or more

5 (42)

Number of VMMCs done by provider

 Only a few

0

 More than 10

2 (17)

 More than 50

4 (33)

 More than 100

6 (50)

Anatomic condition documented (e.g. adhesions, tight frenulum)

 Yes

3 (25)

 No

9 (75)

Patients had at least one follow-up visit within 7 days of MC

 Yes

34 (83)

 No

5 (12)

 Unknown

1 (2)

 Not applicable*

1 (2)

  1. *Patient had glans injury during MC and was immediately transferred for management