Less painful circumcision method on the cards

BY PHYLLIS MABANJE
GOVERNMENT will soon introduce a less painful and blood-free circumcision method as it steps up efforts to circumcise three million males by 2015.

The Ministry of Health and Child Welfare in conjunction with the Zimbabwe Community Health Intervention Research Project is already conducting pre-trials of the Prepex method in some parts of the country.

National coordinator for male circumcision in the Health ministry, Sinokuthemba Xaba said the response to the Prepex trials had been overwhelming.

“So far, we have only carried out studies to ascertain the safety, feasibility and acceptability of the Prepex device, as a device-based method of carrying out adult male circumcision in Zimbabwe. The studies so far have been successful.”

Prepex is a non-surgical circumcision device which uses rubber bands. It was developed by Circ MedTech, an Israeli company founded in 2009.

A plastic ring is inserted inside the foreskin and a rubber ring is placed on the outer foreskin, on top of the inner ring.

The outer ring clamps on the inner ring stopping the flow of blood to that part of the foreskin that is to be removed. Within a week the foreskin dies from a lack of oxygen and either falls off on its own or is easily cut off; no anesthesia or sutures are required.

What makes it a better alternative than its surgical counterpart is that it can be performed in a non-sterile setting.

This makes it more ideal for most impoverished African countries with limited facilities and personnel to perform the procedure.

Xaba said plans were at an advanced stage to roll out the programme expected to start next year.

“We are currently making efforts and mobilising resources for ensuring the roll-out of the Prepex device in Zimbabwe,” he said.

“This entails putting in place a comprehensive logistical strategy of procuring the devices and also ensuring that we can distribute them to all the centres that will be providing male circumcision services.”

The resources would also be used in the training of doctors and nurses on use of the Prepex device for medical male circumcision.

“Ministry of Health and Child Welfare is ensuring that it takes all the necessary steps to ensure that the device will be rolled out comprehensively, so that every Zimbabwean who would want to be circumcised using the Prepex can have the service available at a health facility close to them.”

Xaba said they will engage different communication strategies, including mass media and community-based communication strategies to ensure that people have adequate and factual information on Prepex.

“This information will not only be targeted to men, but also to women, so that they have adequate information on the benefits of male circumcision and how it can benefit them as women as well,” said Xaba.

Commenting on whether Prepex was better than the surgical method, Xaba said there were no benefits of one method versus the other.
“However, the Prepex device brings in an opportunity for people to have options that they can choose from.

“Furthermore, there are still some people, due to certain conditions, who won’t be able to be circumcised using the Prepex and hence, the surgical procedure will be there and they can be circumcised by it. In this regard, we are happy that there are options for the provision of male circumcision services.”

He said there was also a chance of Prepex devices being used by primary care nurses in rural health centres. This will enable men in remote areas where there are no doctors and nurses to access male circumcision services.

Researchers have also described the Prepex method as safe, acceptable to patients and staff, and easier to deploy at a large scale in multiple locations and settings.

To date, clinical trials have been held in several African countries including South Africa, Uganda, Kenya, Rwanda and now Zimbabwe.

But it has been established that not all males are suitable candidates, as some have tight foreskins (phimosis), which makes it difficult to insert the inner plastic ring. Researchers said such men were not suitable for the procedure and should use the surgical method.

3 Responses to Less painful circumcision method on the cards

  1. Spencer Sands June 30, 2013 at 6:27 pm #

    How dumb can the African’s be? Jews are not only getting a way to find a medical excuse for their sadist and pedophilic practice of holding a eight day old baby, giving him alchohol in small doses (wine) and without anesthesia, cutting of 50% of the penile skin and sucking the raw skinned penis while spreading herpes and other pathogens and claiming health benfits. And they are sure to make money by mutillating African penises with equipment which will be sold in large numbers because they cannot produce much other than weapons manufactured with US technology transfer and aid. Also the medical community can sell foreskins to cosmetic companies and medical companies (t make skin grafts). Also, the problems due to circumcision like meatal stenosis and impotence etc. would lend to higher sales for medical industry from surgical currections to viagra and even personal lubricants because the leftover stump of the whole penis does not easily penetrate vaginas as the whole one. Europeans are so buried in their shame for killing Jews that they would not say anything against Jews/Israel. Anyway with Jewish/pro-Jewish American stranglehold on global English media, not much coverage can come up regarding the hoax that is circumcision but a lot of lies claiming ” benefits”.

  2. Ronald Goldman, Ph.D. June 30, 2013 at 6:37 pm #

    There are no proven “benefits” to circumcision. Many professionals have criticized the studies claiming that circumcision reduces HIV transmission. They have various flaws. The absolute rate of HIV transmission reduction is only 1.3%, not the claimed 60%. Authorities that cite the studies have other agendas including political and financial. Research shows that circumcision causes physical, sexual, and psychological harm. This harm is ignored by circumcision advocates. Other methods to prevent HIV transmission (e.g., condoms and sterilizing medical instruments) are much more effective, much cheaper, and much less invasive. Please see http://www.circumcision.org/hiv.htm for more information and links to literature.

  3. Rich Winkel July 1, 2013 at 2:29 am #

    How much longer will this old doctors’ tale last? There are so many hoaxes that have been spread about MGM, it seems they just want to cut off foreskins. It’s some kind of compulsion.

    Here’s one bit of info they don’t want to talk about: MGM increases M->F HIV transmission rates by about 50%
    http://www.ncbi.nlm.nih.gov/pubmed/19616720

    Or how about the fact that FGM reduces female HIV receptivity by 60%, the same rate that MGM is supposed to reduce male receptivity. I don’t recall hearing medical calls for universal FGM.
    http://www.tzonline.org/pdf/femalecircumcisionandHIVinfectionintanzania.pdf

    Yes but everyone knows intact men don’t know how to keep clean. Ooops!
    http://www.cirp.org/library/anatomy/parkash/

    But surely FGM is much worse than MGM because it amputates erogenous tissue and MGM doesn’t. Except that’s not true either.
    http://en.wikipedia.org/wiki/Ridged_band#Function

    How about we just chalk this up to a century-old medical error that no one wants to admit. Maybe it’s time to try something new.

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