Improving Surgical Male Circumcision Practice through Experience: Preventing Urethral Fistula

The WHO had received notification of 32 cases of urethral fistula following male circumcision (MC) procedures performed in voluntary medical male circumcision (VMMC) between 2014 and 2018. While such adverse events are rare, this technical brief provides information to improve practice. This brief is based on the information from those events. It addresses the potential practices that could lead to a fistula, and measures to reduce these complications through improved understanding by practitioners.