The safety profile and acceptability of a disposable male circumcision device in Kenyan men undergoing voluntary medical male circumcision

J Urol. 2011 Nov;186(5):1923-7. doi: 10.1016/j.juro.2011.07.027. Epub 2011 Sep 23.


Purpose: We established the safety and effectiveness as well as the acceptability of the Alisklamp® device for male circumcision among Kenyan men.

Materials and methods: To qualify for this hospital based, prospective, interventional cohort study one needed to be an uncircumcised adult male who was HIV negative with no comorbid factors or genitourinary anomalies precluding circumcision. A total of 58 men were recruited from a population of 90. Outcome measures were the safety profile of Alisklamp and its efficiency and acceptability by participants.

Results: All 58 procedures were completed without device malfunction, hemorrhage or undesirable preputial excision. Mean ± SD procedure time was 2.43 ± 1.36 minutes and mean device removal time was 15.8 ± 7.4 seconds. There were 2 adverse events, including mild edema and superficial wound infection related to poor hygiene in 1 case each. All men resumed routine activity immediately after circumcision. Of the 58 participants 25.9% experienced mild nocturnal erectile pains that required no medication. During 6-week followup all men were satisfied with the procedure, tolerated the device well and would recommend it to a friend.

Conclusions: Alisklamp has an excellent safety profile and excellent acceptability among men who undergo circumcision using the device. This technique is easy to teach and it would prove to be a handy device to scale up the rate of male circumcision. Based on these findings the device merits a comparative clinical trial.

MeSH terms

  • Adolescent
  • Adult
  • Circumcision, Male / instrumentation*
  • Circumcision, Male / methods
  • Device Removal
  • Equipment Design
  • Humans
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Treatment Outcome
  • Young Adult