Two Ghanaian teaching-hospital series document serious circumcision injury, much of it from the medicalised sector. At Komfo Anokye Teaching Hospital, Kumasi, 72 children were treated for circumcision-related injuries over 18 months (2012–2014) — urethrocutaneous fistula the commonest (77.8%), with five glans amputations (three complete, two partial) — about 86% caused by formal health workers. At Ho Teaching Hospital, a five-year review of 186 circumcisions (2019–2023) found a 12.37% complication rate (partial circumcision, post-circumcision bleeding, fistula/wrongly-circumcised hypospadias), with doctors (4.3%) far lower than traditional circumcisers (34.8%) and nurses (39.1%).
AGGREGATE (Appiah et al., BMC Urology 2016, KATH; + the Ho Teaching Hospital PLOS GPH 2025 review). THE DISTINCTIVE POINT: most Ghanaian circumcision injuries follow procedures by HEALTH WORKERS, many UNTRAINED (none of 378 surveyed medical circumcisers had formal training) — medicalisation without training does not, by itself, make it safe. WEAKNESS: hospital/referral series, NOT population complication rates; the wanzam subgroup in the Ho study is tiny (n=10, unstable OR). Non-Ghanaian cases excluded.
