PrePex hailed as “……a revolution in male circumcision” by UNAIDS Executive Director, March 2011
PrePex was developed to enable global HIV prevention stakeholders to achieve country wide coverage of Voluntary Medical Male Circumcision (VMMC), safely and efficiently, as part of a combination HIV prevention strategy; alongside counseling, condom dissemination and other WHO recommended methods.
Key Public Healthcare Benefits:
No Surgery, No Sutures, No Injected Anesthesia
- PrePex was extensively reviewed by the WHO, with its safety and efficacy validated in a series of comprehensive, rigorous studies. For a list of WHO Prequalified VMMC devices Click here
- PrePex is Class II CE certified and a sterile version for adults has been cleared by the FDA.
- The PrePex procedure was demonstrated to be safely administered by nurses and doctors.
“With PrePex there is no cutting, no blood and no suturing. Rwanda has changed its national policy to enable task shifting. Nurses are conducting procedures safely — and even faster than physicians.”
Lt. Col. Dr. Jean Paul Bitega, Surgeon, Military Medical Insurance (MMI)Head of Clinical Affairs & Principal Investigator, Rwanda
To Teach, To Set- Up, To Perform
- Requires only 3 days- training of health staff. PrePex training facilities have already been established on a national basis in Rwanda, Zimbabwe, Uganda, South Africa, Botswana, Tanzania and Lesotho.
- Requires minimal supplies, infrastructure and human resources.
- Requires less than 5 minutes for both placement and removal of the device.
“Medical devices like PrePex may change the landscape of VMMC scale-up by simplifying the procedure and increasing access.”
The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Annual Report 2013; 10th Annual Report to Congress
Fast, Cost Effective, Increases Demand for VMMC
- PrePex enables rapid country-wide coverage of the National VMMC Program, complimenting the exiting HIV/AIDS prevention methods.
- Minimal set up and infrastructure requirements reduces the financial strain on the Local Health Care System.
- PrePex facilitates the shift of the burden on the Health Care infrastructure from doctors to nurses; freeing up mission-critical infrastructure and resources for life-saving procedures.
- The Device is disposable and does not require sterile settings, making VMMC more available for men in urban and rural areas.
- PrePex procedure outcomes indicate high rates of patient satisfaction with the final cosmetic result; lower rates of pain compared to a surgical circumcision; more men volunteered for a PrePex procedure than were required throughout the studies.
- The option of a non-surgical procedure, with minimal pain and no disruption to daily activities, is attractive to men – and has the potential to significantly increase demand.
“I felt nothing, not even a little discomfort,” Justin Igalla, PrePex patient in Kampala, Uganda
ENCA, June 17, 2014 (visit our Press Coverage page for the full article)
Key Patient Benefits:
- No needles, No injected anesthesia (less pain reported by men than in surgery)
- No surgery – no cutting of live tissue
- No sutures
- Simple to perform
- Quicker than surgical circumcision (up to 5 times faster)
- Very low rate of complications
- Various sizes designed to minimize discomfort during involuntary erections
- Back to daily routine immediately after procedure – there is no recovery time at the Hospital after the procedure
- Good cosmetic results (no stitches/sutures)
- No intimidating masks or operating room (theatre) settings
- Small inner ring is discreet – no bulges in clothing
“It is the first time we have a device that allows us to scale up VMMC. This will curb the rate of HIV infection in Rwanda.”
Agnes Binagwaho, PhD, MD (PED) International HIV Expert and Former Minister of Health, Rwanda, at a press conference announcing the Scale-Up of PrePex, November 2013