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The atraumatic circumcision device (AccuCirc) - a comparison of postoperative outcomes at two weeks

D. Tomlinson1, F.T.K. Fawole2, Y. Fawole2

1Brown University, Department of Family Medicine, Providence, United States, 2Catholic Hospital Oluyoro Oke-Offa, Ibadan, Nigeria

Background: In 2007, in response to the evidence confirming that male circumcision can reduce HIV transmission and that device related injuries can occur during the procedure, UNAIDS concluded that safer methods of male circumcision needed to be developed. The Atraumatic Circumcision Device (AccuCirc) was introduced in 2008 and provides several inherent benefits over the conventional devices. To help evaluate this new device, postoperative outcomes at two weeks should be compared between devices.
Method: To help remove bias in evaluating post operative outcomes we elected to use high resolution photography to record outcomes. After obtaining informed consent and over the course of one month, we performed 20 elective, routine, infant, male circumcisions in which we were able to obtain photographs of the immediate and two week postoperative outcomes using four different circumcision devices: AccuCirc, Gomco, Plastibell, and Mogen.
Results: No complications were observed for any of the cases. The photographs were linked by case and by device used and then compared. Photographs comparing two week outcomes between the Atraumatic Circumcision Device and each of the conventional devices are provided.
Conclusions: The outcomes at two weeks in these cases were comparable among all the devices.

Comparison of circumcision postoperative outcomes
[Comparison of circumcision postoperative outcomes]

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A comparison of postoperative male circumcision outcomes at two weeks


Disclaimer: This additional information has been submitted by the abstract author after the abstract has been accepted for the conference and has not been reviewed by the conference organizers.



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