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Table 3 Post-operative circumstances surrounding fistulas in PEPFAR-supported programs

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

 

Number (%), N = 41

Days from VMMC to fistula symptoms

 Median (25%, 75%)

20 (14, 27)

 Mean (range)

30 (3–183)

Initial AE type diagnosed

 Fistula

31 (76)

 Infection

7 (17)

 Urinary retention

1 (2)

 Glans injury

1 (2)

 Wound

1 (2)

Other AE (was any other AE diagnosed in addition to fistula)

 Yes

28 (68)

 Infection (% of n = 28)

21 (75)

 Stricture (% of n = 28)

4 (14)

 Wound/dehiscence (% of n = 28)

1 (4)

 Stricture and wound (% of n = 28)

1 (4)

 Glans injury (% of n = 28)

1 (4)

 No

13 (32)

Referred

 Yes

40 (98)

 No

0

 Unknown

1 (2)

Specialty of referral provider

 Urologist

29 (71)

 Pediatric Surgeon

4 (10)

 Plastic Surgeon

4 (10)

 Other Surgeon

1 (2)

 Unknown Referral Provider Type

2 (5)

 Unknown if referred

1 (2)

Days from fistula appearance to referral (if referral date known) (n = 35)

 Median (25%, 75%)

6 (2, 19)

 Mean (range)

15 (0–75)

Antibiotic treatment

 Yes

32 (78)

 No

9 (22)

Initial Management

 Conservative

38 (93)

 Surgical

0

 Unknown

3 (7)

Conservative management outcome (n = 38)

 Successful (% of n = 38)

4 (11)

 Unsuccessful

10 (26)

 Unknown

27 (71)

Ever had surgical repair

 Yes

9 (22)

 No

4 (10)

 Unknown

28 (68)

Days from fistula appearance to surgical repair (n = 9)

 Median (25%, 75%)

60 (30, 74)

 Mean (range)

57 (16–103)

If surgery documented, what was the outcome (n = 9)

 Successful (% of n = 9)

4 (44)

 Unsuccessful

3 (33)

 Unknown

2 (22)

If surgery performed, total number of operations documented (n = 9)

 One (% of n = 9)

8 (89)

 Two

1 (11)

Fistula healed at last documented follow up

 Yes

9 (22)

 No

30 (73)

 Unknown

2 (5)

  1. Outlier of 213 days excluded
  2. Two with corrective surgery performed but no follow-up results documented