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A new Male Circumcision (MC) device, PrePex, has shown great promise as a way to radically shift the MC landscape. PrePex is an innovative circumcision device requiring no injected anesthesia, sutures, or sterile settings. Moreover, it is designed for use by minimally skilled healthcare professionals rather than surgeons. Two initial studies conducted in Rwanda in 2010 and 2011 demonstrated an excellent safety profile when the procedure was performed by skilled physicians
Rwanda Has also completed a third study to assess the safety and efficacy of MC when performed by nurses using PrePex in both rural and urban hospitals, Device safety was assessed by the rate of clinical adverse events and device-related incidents attributed to the PrePex device and its procedures, the study report was shared with the WHO Male Circumcision Technical Advisory Group. On February 2011 the WHO provided Rwanda with recommendation to phase in MC scale up with the PrePex device on adults. Moreover the WHO recommended Rwanda to study the PrePex for use on adolescent population, starting on ages 15-17 and thereafter on ages 12-14 and 10-12.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adolescent male population | Experimental | Male circumcision using the PrePex device among healthy adolescent males and contraindicated subjects due to Preputial adhesions and /or narrow foreskin/Phimosis |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PrePex Device | Device | The PrePex device is designed to enable conducting male circumcision procedure that is bloodless with no anesthesia and no sutures. For contraindicated subjects, a preparation procedure will take place. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Serious Adverse Events on adolescent male population including contraindicated subjects in ages 10 to 17 | up to 7 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Glans fully exposed | Up to 7 weeks | |
| The pain at key time points | Up to 7 weeks | |
| Time to complete healing |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vincent Mutabazi, M.D. | Ministry of Health, Rwanda | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rwanda Military Hospital | Kigali | Kigali | 3377 | Rwanda |
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| Label | URL |
|---|---|
| Rwanda Biomedical Center | View source |
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| Up to 7 weeks |
| Time to numb the foreskin using topical Lidocaine 5% cream - for contraindicated subjects only | Up to 7 weeks |
| Rate of side effects | Up to 7 weeks |