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

• Published in: Asian journal of andrology Vol. 18; no. 5; pp. 798 - 802
• Main Authors: Lei, Jun-Hao, Liu, Liang-Ren, Wei, Qiang, Xue, Wen-Ben, Song, Tu-Run, Yan, Shi-Bing, Yang, Lu, Han, Ping, Zhu, Yu-Chun
• Format: Journal Article
• Language: English
• Published: China Wolters Kluwer - Medknow Publications 01.09.2016; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Adolescent; Adult; Aged; Chinese Shang Ring; circumcision; Dorsal Slit; phimosis; redundant prepuce; Circumcision; Circumcision, Male - adverse effects; Circumcision, Male - instrumentation; Edema - etiology; Hospitals; Humans; Infections; Male; Males; Methods; Middle Aged; Original; Patient Satisfaction; Patients; Phimosis - surgery; Postoperative Complications; Postoperative Period; Prospective Studies; Surgery; Treatment Outcome; Young Adult; 临床; 倒装技术; 包皮; 成年; 手术方法; 操作时间; 环切; 男性; China
• ISSN: 1008-682X; 1745-7262
• DOI: 10.4103/1008-682X.157544

This paper was aimed to compare the clinical effectiveness and safety of adult male circumcision using the Shang RingTM （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.