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For the next 100 this drops to 2.1% and by the time they have done 200400 this drops to less than 1%. In the RCT in Uganda the rate of moderate and severe adverse events was 8.8% for the first 19 unsupervised procedures after training, 4.0% for the next 2099, and 2.0% for the last 100 [Kiggundu et al., 2009]. 40 minutes for the first 100 and 25 minutes for the subsequent 100.In boys up to age 15 in the UK, 1.5% experienced a complication [Cathcart et al., 2006].The findings offered promise for scaling up of medical circumcision alongside traditional initiation into manhood.Deficiencies in training and resources in settings such as Africa need to be addressed and new methods such as use of simple, safe devices [Kim & Goldstein, 2009].Even after operator training, incorrect instrument use occurred and complications remained unacceptably high [Peltzer et al., 2008].In this study of the Xhosa in South Africa, 88% of the adolescents (mean age 18.7) had already started to have sex before being circumcised, putting them at risk.Other studies in Africa noted high complication rates for both medical and traditional groups, albeit at half the rate for the medical [Bailey et al., 2008a; Kim & Goldstein, 2009].
“Complications”, although low, are generally about 10-fold higher than in infancy.
All were managed successfully and they all resolved.
An average of 3.8% adverse events has been seen for the first 1100 circumcisions a clinician does [Krieger et al., 2007].
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In the South African RCT, 3.8% had an adverse event as follows: pain (0.8%), excessive bleeding (0.6%), infection (0.2%), swelling or hematoma (0.6%), problems with appearance (0.6%), damage to the penis (0.3%), insufficient skin removed (0.3%), delayed wound healing (0.1%), anesthesia-related event (0.06%) [Auvert et al., 2005].