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Clinical Trial
. 2016 Sep-Oct;18(5):798-802.
doi: 10.4103/1008-682X.157544.

Circumcision with "no-flip Shang Ring" and "Dorsal Slit" methods for adult males: a single-centered, prospective, clinical study

Jun-Hao Lei  1 , Liang-Ren Liu  1 , Qiang Wei  1 , Wen-Ben Xue  1 , Tu-Run Song  1 , Shi-Bing Yan  2 , Lu Yang  1 , Ping Han  1 , Yu-Chun Zhu  1
Affiliations
Clinical Trial

Circumcision with "no-flip Shang Ring" and "Dorsal Slit" methods for adult males: a single-centered, prospective, clinical study

Jun-Hao Lei et al. Asian J Androl. 2016 Sep-Oct.

Abstract

This paper was aimed to compare the clinical effectiveness and safety of adult male circumcision using the Shang Ring™ (SR) with the no-flip technique compared with Dorsal Slit (DS) surgical method. A single-centered, prospective study was conducted at the West China Hospital, where patients were circumcised using the no-flip SR (n = 408) or the DS (n = 94) procedure. The adverse events (AEs) and satisfaction were recorded for both groups, and ring-removal time and percentage of delayed removals were recorded for the SR group. Finally, complete follow-up data were collected for 76.1% of patients (SR: n = 306; DS: n = 76). The average ring-removal time for the SR group was 17.62 ± 6.30 days. The operation time (P < 0.001), pain scores during the procedure (P < 0.001) and at 24 h postoperatively (P < 0.001), bleeding (P = 0.001), infection (P = 0.034), and satisfaction with penile appearance (P < 0.001) in the SR group were superior to those in the DS group. After two postoperative weeks, the percentage of patients with edema in the SR group (P = 0.029) was higher but no differences were found at 4 weeks (P = 0.185) between the two groups. In conclusions, the no-flip SR method was found to be superior to the DS method for its short operation time (<5 min), involving less pain, bleeding, infection, and resulting in a satisfactory appearance. However, the time for recovery from edema took longer, and patients may wear device for 2-3 weeks after the procedure.

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Figures

Figure 1
Figure 1
Placing the inner ring between the inner plate and sulcus.
Figure 2
Figure 2
Trapping the outer ring over the inner ring.
Figure 3
Figure 3
Adjusting the frenulum length, and tightening up the outer ring.
Figure 4
Figure 4
Removing the redundant foreskin and sterilizing the edge.
See this image and copyright information in PMC

References

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