Table 2. Practices and adverse events directly observed from medical and traditional circumcisions performed in Bungoma district, Kenya, July–August, 2004.
Description of event | Medical
(N = 12) |
Traditional
(N = 12) |
|||
---|---|---|---|---|---|
(n) | (%) | (n) | (%) | ||
Use of general anaesthesia | 2 | 17 | 0 | 0 | |
Use of local anaesthesia | 10 | 83 | 0 | 0 | |
Sutures used | 9 | 75 | 0 | 0 | |
Sutures widely spaced with oedema | 5 | 56 | n/a | n/a | |
Sutures broken | 5 | 56 | n/a | n/a | |
Infection requiring antibiotics | 6 | 50 | 5 | 42 | |
Wound not healed at 30 days | 12 | 100 | 12 | 100 | |
Torsion | 2 | 17 | 0 | 0 | |
Profuse bleeding requiring IV fluids | 1 | 8 | 0 | 0 | |
Incomplete foreskin removed | 2 | 17 | 5 | 42 | |
Required recircumcision | 2 | 17 | 4 | 33 | |
Wound > 3 cm corona to cut line | 3 | 25 | 4 | 33 | |
Jagged cut line/skin not uniform | 2 | 17 | 3 | 25 | |
Haematoma requiring surgery | 1 | 8 | 0 | 0 | |
No sensitivity corona to cut line | 4 | 33 | 3 | 25 | |
Loss of erectile function at 3 months | 0 | 0 | 3 | 25 | |
Required hospitalization | 1 | 8 | 0 | 0 | |
Permanent adverse sequelaea | 3 | 25 | 4 | 33 | |
No adverse event | 1 | 8 | 2 | 16 |
n/a, not applicable. a Any event directly related to circumcision that results in a disability likely to last for years or a lifetime, including torsion, mutilation of the glans, excessive scarring causing loss of penile sensitivity, and erectile dysfunction.