A rare but important adverse event associated with adult voluntary medical male circumcision: prolonged bleeding

摘要

BackgroundThe majority of bleeding disorders worldwide are undiagnosed. Their moderate or severe forms are associated with considerable morbidity and mortality. In the advent of mass male circumcision for the partial prevention of HIV, undiagnosed and diagnosed cases of bleeding disorders are likely to be increasingly encountered. The ability to screen, diagnose, and manage these cases appropriately will mitigate associated adverse events.We describe three cases of prolonged bleeding after adult voluntary medical male circumcision (VMMC) and propose program measures.