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2017 ; 6
(2
): 149-157
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English Wikipedia
Circumcision and its effects in Africa
#MMPMID28540221
Lawal TA
; Olapade-Olaopa EO
Transl Androl Urol
2017[Apr]; 6
(2
): 149-157
PMID28540221
show ga
Male circumcision is one of the most commonly performed procedures in Africa,
with a wide variation between the different regions on the practice. This is
because circumcision is often done for religious and cultural or traditional
reasons, which includes being part of rituals or rite of passage to adulthood.
There had been few medical indications for the procedure until the human
immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) pandemic,
which is prevalent in many of the countries in the region. Evidence from
randomized controlled trials conducted in the continent had shown that male
circumcision could be instrumental to reducing the transmission of HIV/AIDS in
heterosexual couples in high disease prevalent and low circumcision prevalent
areas. This had led to the roll-out of large population-based adult male
circumcisions as well as the development of tools to facilitate the procedure.
Circumcision, however, is not without complications and the incidence appears
related to the age of the patient, where the procedure was done, technique used
and level of proficiency of the practitioners. This article reviews the practice
of circumcision in Africa and highlights the impact of the procedure on the
continent.