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Metrics details. Urethrocutaneous fistulas, abnormal openings between the urethra and penile skin through which urine can escape, are rare, severe adverse events AEs that can occur with VMMC. This analysis describes fistula cases, identifies possible risks and mechanisms of injury, and offers mitigation actions. Demographic and clinical program data were reviewed from all reported fistula cases during to , descriptive analyses were performed, and an odds ratio was calculated by patient age group. In total, 41 fistula cases were reported.

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Voluntary medical male circumcision VMMC remains an essential component of combination HIV prevention services, particularly in priority countries in sub-Saharan Africa. As VMMC programs seek to maximize impact and efficiency, and to support World Health Organization guidance, specific uptake-enhancing strategies are critical to identify. We systematically reviewed the literature to evaluate the impact of service delivery interventions e. We synthesized data by coding categories and outcomes.
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