Knowledge, Attitude and Practice of General Practitioners on Circumcision and Its Complications in the District Hospitals of the Center Region
- 1 Higher Institute of Medical Technology of Nokolondom, Yaoundé, Cameroon
- 2 Higher Institute of Medical Technology of Nokolondom, Yaoundé, Cameroon
- 3 Medical Faculty of Yaoundé University, Yaoundé, Cameroon
- 4 Higher Institute of Medical Technology of Nokolondom, Yaoundé, Cameroon
- 5 Department of General and Visceral Surgery, Sourô Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
- 6 Department of General and Visceral Surgery, Sourô Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
- 7 Department of General and Visceral Surgery, Sourô Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
- 8 Department of General and Visceral Surgery, Sourô Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
- 9 Higher Institute of Medical Technology of Nokolondom, Yaoundé, Cameroon
Abstract
Background: The complication rate of circumcision in medical settings is between 0.4% and 2.0%. Circumcision accidents constituted 2.0% of urological emergencies at the Yaoundé Central Hospital. Aim: To assess the level of knowledge, attitudes and practices of general practitioners on circumcision and its complications in Central Region District Hospitals. Population and Methods: We conducted a multicenter descriptive cross-sectional study the CAP (Knowledge, Attitudes and Practices) type. Which took place from March 9 to June 30, 2021 (16 weeks). We included 138 physicians. The variables collected were: socio-demographic characteristics, knowledge about circumcision and its complications, attitudes towards circumcision and its complications, practices towards circumcision and its complications. Results: In our study, the median age of the study population was 29 years, the sex ratio (M/F) was 0.8. The median ideal age to perform circumcision was 12 months. In our study, 94.9% of general practitioners clearly identified bleeding disorders as a contraindication for circumcision. The material needed to be used to perform a circumcision was ignored by 81.2% of general practitioners. The global knowledge assessment showed that 68.9% of participants had unsatisfactory knowledge about circumcision and its complications. Before circumcision, 91.3% general practitioners first recommended effective disinfection of the operating field, and 83.3% used sterile equipment. Faced with a hemorrhage, 61.6% of general practitioners proposed surgical exploration in the face of rebellious bleeding. 60.2% of general practitioners had bad attitudes towards circumcision and its complications. In our study, 49.2% of the general practitioners questioned did not know the normal procedure for performing a circumcision. Forty-one (29.7%) general practitioners had never performed a circumcision. The median occurrence of a complication during circumcision was 2 times. Bleeding was the most common early postoperative complication (89.2%) in general practitioner practice during circumcision. Conclusion: The majority of general practitioners have not received formal education on circumcision.
- Aynaud, O., Malka, G. and Devincenti, I. (1998) Pathologie de la verge. Masson, Paris.
- OMS & UNAIDS (2007) Male Circumcision Global Trends and Determinents of Prevalence, Safety and Acceptability. OMS, Génève.
- Auvert, B., Taljaard, D., Lagarde, E., Sobngwi-Tambekou, J., Sitta, R. and Puren, A. (2005) Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial. PLoS Medecine, 11, 298. https://doi.org/10.1371/journal.pmed.0020298
- Bailey, C., Moses, S., Parker, C., Agot, K., Maclean, I., Krieger, J., et al. (2007) Male Circumcision for HIV Prevention in Young Men in Kisumu, Kenya: A Randomized Controlled Trial. The Lancet, 9562, 643-656. https://doi.org/10.1016/S0140-6736(07)60312-2
- Gray, H., Kigozi, G., Serwadda, D., Makumbi, F., Watya, S., Nalugoda, F., et al. (2007) Male Circumcision for HIV Prevention in Young Men in Rakai, Uganda: A Randomized Trial. The Lancet, 9562, 657-666. https://doi.org/10.1016/S0140-6736(07)60313-4
- Chaim, J., Pinhas, M., Binyamini, J., Hardak, B., Meir, D. and Mor, Y. (2005) Complications de la circoncision en Israël: Une enquête multicentrique d’un an. Israel Medical Association Journal, 6, 368-370.
- Okeke, L., Asinobi, A. and Ikuerowo, O. (2006) Epidemiology of Complications of Male Circumcision in Ibadan, Nigeria. BMC Urology, 1, 1-3. https://doi.org/10.1186/1471-2490-6-21
- Owon’Abessolo, P., Mayopa, C., Mekeme, J., Fouda, J., Biyouma, M., Dongmo, G., et al. (2020) Urgences Urologiques: Aspects épidémiologiques, Cliniques et Thérapeutiques à l’Hôpital Central de Yaoundé. Health Science Disease, 8, 52-55.
- Mouafo, F., Ditope, J., Fadi, S., Nyanit, B., Mbouche, L. and Andze, O. (2016) Aspects anatomocliniques et thérapeutiques des accidents de la circoncision à l’hôpital Gynéco-obstétrique et pédiatrique de Yaoundé (HGOPY): À propos de 15 cas. Revue Africaine de Chirurgie et Spécialités, 3, 15-18.
- Ekenze, S., Ugwu, J. and Onumaegbu, O. (2015) Evaluation of Neonatal Circumcision Training for Resident Doctors in a Developing Country. Journal of Pediatric Urology, 5, 263. https://doi.org/10.1016/j.jpurol.2015.03.017
- Le, B., Mickelson, J., Gossett, D., Kim, D., Stoltz, R., York, S., et al. (2010) Formation en résidanat en matière de circoncision néonatale: une étude pilote et l’évaluation des besoins. The Journal of Urology, 4, 1754-1757. https://doi.org/10.1016/j.juro.2010.03.077