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Manual for Male Circumcision under Local Anaesthesia

Manual for Male Circumcision under Local Anaesthesia

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<strong>Male</strong> circumcision <strong>under</strong> local anaesthesia<br />

Version 3.1 (Dec09)<br />

C. ≥ 1 month after<br />

surgery<br />

Infection<br />

Delayed<br />

wound healing<br />

Appearance<br />

Excessive skin<br />

removed<br />

Insufficient<br />

skin removed<br />

Torsion of<br />

penis<br />

Erectile<br />

dysfunction<br />

Psychobehavi<br />

oural<br />

problems<br />

Erythema more than 1 cm beyond incision line<br />

Purulent discharge from the wound<br />

Cellulitis or wound necrosis<br />

Healing takes longer than usual, but no extra<br />

treatment necessary<br />

Additional non-operative treatment required<br />

Requires re-operation<br />

Client concerned, but no discernible abnormality<br />

Significant scarring or other cosmetic problem, but<br />

does not require re-operation<br />

Requires re-operation<br />

Client concerned, but there is no discernible<br />

abnormality<br />

Skin is tight, but additional operative work not<br />

necessary<br />

Requires re-operation or transfer to another facility<br />

Foreskin partially covers the glans only when<br />

extended<br />

Foreskin still partially covers the glans and reoperation<br />

is required to correct<br />

Torsion is observable, but does not cause pain or<br />

discom<strong>for</strong>t.<br />

Causes mild pain or discom<strong>for</strong>t, but additional<br />

operative work not necessary<br />

Requires re-operation or transfer to another facility<br />

Client reports occasional inability to have an<br />

erection<br />

Client reports frequent inability to have an erection<br />

Client reports complete or near complete inability to<br />

have an erection<br />

Client reports mild dissatisfaction with the<br />

circumcision, but no significant psychobehavioural<br />

consequences<br />

Client reports significant dissatisfaction with the<br />

circumcision, but no significant psychobehavioural<br />

consequences<br />

Significant depression or other psychological<br />

problems attributed by the client to the circumcision<br />

Mild<br />

Moderate<br />

Severe<br />

Mild<br />

Moderate<br />

Severe<br />

Mild<br />

Moderate<br />

Severe<br />

Mild<br />

Moderate<br />

Severe<br />

Mild<br />

Moderate<br />

Mild<br />

Moderate<br />

Severe<br />

Mild<br />

Moderate<br />

Severe<br />

Mild<br />

Moderate<br />

Severe<br />

Treatment provided: ______________________________________________________<br />

Was patient referred Yes No If yes, to where __________________________<br />

and when ____________________________<br />

Treatment outcome: Adverse event completely resolved<br />

Adverse event partially resolved<br />

Record keeping, monitoring, evaluation and supervision Chapter 9-13

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