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Circumcisionis one of the commonest procedures done for medical or ritual reasons over the centuries. Currently, apart from traditional methods, circumcision is practiced in hospital under sterile conditions as well as in the community in a clean but nonsterile setting .Whereas the hazards of traditional circumcision have been extensively documented, the results of mass circumcision done in the community have not been objectively studied. This raises questions on the safety of such practice and whether improvements should be recommended to promote safety. Objectives: This study aims to evaluate the differences in the incidence of the most common complications of bleeding and wound infection ,when circumcision is done in the hospital and outside the hospital . Methodology: This is a prospective study reviewing 75 circumcisions done in Hospital Raja PerempuanZainab II and 85 circumcisions done outside the hospital in the Kota Bharu and Pasir Mas district area between 1 November 2009 and 31 December 2009. Patients were followed up at one hour,three days and seven days after the circumcision. The incidence of bleeding and wound infection was recorded. Data analysis was done using SPSS software version 18.0. Results: The incidence of wound infection is higher in the outside hospital group as compared to the inside hospital group (22.6% vs 9.3% ,p 0.024 ), with a relative risk of 2.42. There is no significant difference in the incidence of bleeding between the outside hospital group and the inside hospital group (4.8% vs 6.7%, p 0.736 ). Conclusion: This study proves that circumcision performed outside the hospital has more risk of developing wound infection compared to circumcision done in hospital. However bleeding complication remained identical in both groups .

Evaluation of Results of Circumcision Done In Hospital Raja PerempuanZainab II and Circumcision Done In the Community Setting