Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda

Godfrey Kigozi; James Nkale; Maria Wawer; Margaret Anyokorit; Stephen Watya; Fred Nalugoda; Joseph Kagaayi; Noah Kiwanuka; Joshua Mwinike; Nehemiah Kighoma; Grace K. Nalwoga; Gertrude F. Nakigozi; Henry Katwalo; David Serwadda; Ronald H. Gray

doi:10.1016/j.urology.2010.11.031

Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda

Godfrey Kigozi, James Nkale, Maria Wawer, Margaret Anyokorit, Stephen Watya, Fred Nalugoda, Joseph Kagaayi, Noah Kiwanuka, Joshua Mwinike, Nehemiah Kighoma, Grace K. Nalwoga, Gertrude F. Nakigozi, Henry Katwalo, David Serwadda, Ronald H. Gray

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Objective: To describe the designing and usage of a locally made low-cost penile model used for male medical circumcision (MMC) skills training. Material and Methods: The Rakai MMC training team has experienced a number of challenges during conduct of MMC skills training, one of which was the lack of a model to use for MMC skills training. To address this challenge, the Rakai MMC skills training team has designed and developed a low-cost penile model for use in MMC skills training. Results: The model has been successfully used to demonstrate external penile anatomy, to describe the biological mechanisms through which male circumcision (MC) prevents HIV acquisition, and for demonstration and practice of the MMC procedures. Conclusions: With an initial cost of only $10 and a recurrent cost of $5, this is a cost-efficient and useful penile model that provides a simulation of normal penile anatomy for use in MC training in resource-limited settings. It has also been used as a visual aid in preoperative education of patients before receiving male circumcision. The model can be improved and scaled up to develop cheaper commercial penile models.

Original language	English (US)
Pages (from-to)	1495-1497
Number of pages	3
Journal	Urology
Volume	77
Issue number	6
DOIs	https://doi.org/10.1016/j.urology.2010.11.031
State	Published - Jun 2011

ASJC Scopus subject areas

Urology

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10.1016/j.urology.2010.11.031

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Kigozi, G., Nkale, J., Wawer, M., Anyokorit, M., Watya, S., Nalugoda, F., Kagaayi, J., Kiwanuka, N., Mwinike, J., Kighoma, N., Nalwoga, G. K., Nakigozi, G. F., Katwalo, H., Serwadda, D., & Gray, R. H. (2011). Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda. Urology, 77(6), 1495-1497. https://doi.org/10.1016/j.urology.2010.11.031

Kigozi, G, Nkale, J, Wawer, M, Anyokorit, M, Watya, S, Nalugoda, F, Kagaayi, J, Kiwanuka, N, Mwinike, J, Kighoma, N, Nalwoga, GK, Nakigozi, GF, Katwalo, H, Serwadda, D & Gray, RH 2011, 'Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda', Urology, vol. 77, no. 6, pp. 1495-1497. https://doi.org/10.1016/j.urology.2010.11.031

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title = "Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda",

abstract = "Objective: To describe the designing and usage of a locally made low-cost penile model used for male medical circumcision (MMC) skills training. Material and Methods: The Rakai MMC training team has experienced a number of challenges during conduct of MMC skills training, one of which was the lack of a model to use for MMC skills training. To address this challenge, the Rakai MMC skills training team has designed and developed a low-cost penile model for use in MMC skills training. Results: The model has been successfully used to demonstrate external penile anatomy, to describe the biological mechanisms through which male circumcision (MC) prevents HIV acquisition, and for demonstration and practice of the MMC procedures. Conclusions: With an initial cost of only $10 and a recurrent cost of $5, this is a cost-efficient and useful penile model that provides a simulation of normal penile anatomy for use in MC training in resource-limited settings. It has also been used as a visual aid in preoperative education of patients before receiving male circumcision. The model can be improved and scaled up to develop cheaper commercial penile models.",

author = "Godfrey Kigozi and James Nkale and Maria Wawer and Margaret Anyokorit and Stephen Watya and Fred Nalugoda and Joseph Kagaayi and Noah Kiwanuka and Joshua Mwinike and Nehemiah Kighoma and Nalwoga, {Grace K.} and Nakigozi, {Gertrude F.} and Henry Katwalo and David Serwadda and Gray, {Ronald H.}",

note = "Funding Information: The Rakai Health Sciences Program received funding from WHO and the President's Emergency Plan for AIDS Relief (PEPFAR) to provide male circumcision training to teams of MC providers. One of the challenges faced by the trainers was a lack of models that could be used to demonstrate MC procedures to trainees before they conducted surgery. Upon review of the literature, no information was available on penile models that could be used for adult MC skills training. To address this challenge, the Rakai Health Sciences Program training team designed a cheap penile model that can be made locally at low cost. The objective of this paper is to describe the training model and how it can be used for the MC providers training. ",

year = "2011",

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doi = "10.1016/j.urology.2010.11.031",

language = "English (US)",

volume = "77",

pages = "1495--1497",

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T1 - Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda

AU - Kigozi, Godfrey

AU - Nkale, James

AU - Wawer, Maria

AU - Anyokorit, Margaret

AU - Watya, Stephen

AU - Nalugoda, Fred

AU - Kagaayi, Joseph

AU - Kiwanuka, Noah

AU - Mwinike, Joshua

AU - Kighoma, Nehemiah

AU - Nalwoga, Grace K.

AU - Nakigozi, Gertrude F.

AU - Katwalo, Henry

AU - Serwadda, David

AU - Gray, Ronald H.

N1 - Funding Information: The Rakai Health Sciences Program received funding from WHO and the President's Emergency Plan for AIDS Relief (PEPFAR) to provide male circumcision training to teams of MC providers. One of the challenges faced by the trainers was a lack of models that could be used to demonstrate MC procedures to trainees before they conducted surgery. Upon review of the literature, no information was available on penile models that could be used for adult MC skills training. To address this challenge, the Rakai Health Sciences Program training team designed a cheap penile model that can be made locally at low cost. The objective of this paper is to describe the training model and how it can be used for the MC providers training.

PY - 2011/6

Y1 - 2011/6

N2 - Objective: To describe the designing and usage of a locally made low-cost penile model used for male medical circumcision (MMC) skills training. Material and Methods: The Rakai MMC training team has experienced a number of challenges during conduct of MMC skills training, one of which was the lack of a model to use for MMC skills training. To address this challenge, the Rakai MMC skills training team has designed and developed a low-cost penile model for use in MMC skills training. Results: The model has been successfully used to demonstrate external penile anatomy, to describe the biological mechanisms through which male circumcision (MC) prevents HIV acquisition, and for demonstration and practice of the MMC procedures. Conclusions: With an initial cost of only $10 and a recurrent cost of $5, this is a cost-efficient and useful penile model that provides a simulation of normal penile anatomy for use in MC training in resource-limited settings. It has also been used as a visual aid in preoperative education of patients before receiving male circumcision. The model can be improved and scaled up to develop cheaper commercial penile models.

AB - Objective: To describe the designing and usage of a locally made low-cost penile model used for male medical circumcision (MMC) skills training. Material and Methods: The Rakai MMC training team has experienced a number of challenges during conduct of MMC skills training, one of which was the lack of a model to use for MMC skills training. To address this challenge, the Rakai MMC skills training team has designed and developed a low-cost penile model for use in MMC skills training. Results: The model has been successfully used to demonstrate external penile anatomy, to describe the biological mechanisms through which male circumcision (MC) prevents HIV acquisition, and for demonstration and practice of the MMC procedures. Conclusions: With an initial cost of only $10 and a recurrent cost of $5, this is a cost-efficient and useful penile model that provides a simulation of normal penile anatomy for use in MC training in resource-limited settings. It has also been used as a visual aid in preoperative education of patients before receiving male circumcision. The model can be improved and scaled up to develop cheaper commercial penile models.

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Designing and usage of a low-cost penile model for male medical circumcision skills training in Rakai, Uganda

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