Use of a mixture of lignocaine and bupivacaine vs lignocaine alone for male circumcision under local anaesthesia in Rakai, Uganda
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Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
BJU international
Abstract
Male circumcision (MC) has been shown to reduce the risk of HIV acquisition by 50 – 60% [ 1 – 3 ] and the WHO now recommends it as one of the proven methods for HIV prevention [ 4 ] . Several programmes in sub-Saharan Africa have initiated MC implementation. For MC to be effective at a community level there is need to achieve high MC coverage, and modelling
suggests that the higher the prevalence of MC the greater the impact on HIV incidence [ 5 ] . One reason consistently cited by men for not accepting MC is fear of pain during surgery [ 6 – 10 ] . Our experience in Rakai is that when men are offered MC, only a few men initially come for surgery, and the majority, fearing pain, wait to hear the experiences of men who have had surgery.
Description
Keywords
Male circumcision, Local anaesthesia, Lignocaine, Bupivacaine, Pain control, Anaesthetic mixture
Citation
Kigozi, G., Musoke, R., Anyokorit, M., Nkale, J., Kighoma, N., Ssebanenya, W., ... & Gray, R. (2012). Use of a mixture of lignocaine and bupivacaine vs lignocaine alone for male circumcision under local anaesthesia in Rakai, Uganda. BJU international, 109(7), 1068-1071. doi:10.1111/j.1464-410X.2011.10505.x