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Epidemiology of Male Circumcision and Its Attendant Complications in Osogbo, Nigeria

Eziyi A.K, Taiwo A.O, Ojewuyi O.O, Ayomide O.O1, Alao, Oyeniyi G.A., Adeyemi A.A, Oladele S.O, Nigeria

Circumcision is a commonly performed procedure all over the world and it is done for various reasons ranging from medical to religious, cultural and other reasons. It is not without complications, some of which can be very distressing to both parents and practitioners. This study was carried out to describe the complications associated with circumcision among male children presenting at the infant welfare clinic and pediatric clinic in a teaching hospital in South western Nigeria.
Materials and Methods:
This descriptive study was conducted on 114 male children at infant welfare clinic and pediatric clinic of LAUTECH teaching Hospital, Osogbo. The respondents essentially consist of 114 consecutive children between the ages of one week to fifteen months attending pediatric outpatient unit whose parents consented to participate in the study. Data were retrieved using a structured questionnaire and clinical examination of respondents' phallus and the data collected included socio-demographic information, procedure's information and the attendant complications. Data analysis was done with SPSS 20.
The age range of the respondents was from one week to 15 years. The results showed that most of the respondents had circumcision done during the first two weeks of life, 81(71.1%), at the hospital 84(73.7%) and for cultural reasons 21(18.4%). Doctors performed most of the circumcision 57 (50.0%), followed by Nurses 43(37.7%), Traditional circumcisionist 11 (9.6%) and Community health worker 3(2.6%). The use of Plastibel was the most common technique utilized by the practitioners, 66 (79.5%), followed by free hand technique 15 (18.1%). Table 1 About 77 of them (67.5%) had one complication or the other. Figure 1. The early complications recorded excessive bleeding, pain and inadequate skin removal while the late complications were meatal stenos is and urethrocutaneous fistula. Figure 2 There was significant association between whenn the circumcision was done and the complication rate p= 0.023. Those circumcised within 2 weeks of life had lesser complications, p= 0.030 compared to those circumcised after 2 weeks of life. The category of the Accoucher was also of importance, with those performed by Doctors having lesser complication rates compared to other categories of health professional. There was no significant association between the method of circumcision and the complication rate. Table 2
The findings indicate that complications can occur in circumcision done by Practitioners of any cadre, however those done in the hospital and by Doctors were associated with lower complication rates.
We recommend the training and retraining of all categories of workers who perform circumcision to achieve desired result

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