Severe adverse events for PrePex were rare in Malawi, similar to other VMMC programs, but immediate provision of surgical services after displacement or early removal proved a challenge. Cases of insufficient skin removal were linked to poor technique, suggesting that provider training requires reinforcement and supervision.
Citation:
Kohler PK, Tippett Barr BA, Kang'ombe A, Hofstee C, Kilembe F, Galagan S, et al. Safety, Feasibility, and Acceptability of the PrePex Device for Adult Male Circumcision in Malawi. J Acquir Immune Defic Syndr. 2016;72 Suppl 1:S49-55.