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Abstract

Volume 18, Issue 5 (September 2016) 18, 798–802; DOI:10.4103/1008-682X.157544

Circumcision with

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

1 Department of Urology, West China Hospital, Sichuan University, Chengdu, China
2 Department of Urology, Dujiangyan Medical Center/The Affiliated Hospital of Chengdu University, Dujiangyan, China

Correspondence: Prof. Q Wei (weiqiang393@126.com) or Prof. YC Zhu (804702593@139.com)

10-Nov-2015

Abstract

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.

Keywords: Chinese Shang Ring; circumcision; Dorsal Slit; phimosis; redundant prepuce

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