A randomized clinical study of circumcision with a ring device versus conventional circumcision

Area of Science:

• Urology
• Surgical Innovation
• Public Health

Background:

• Male circumcision is a common procedure globally.
• Conventional sleeve resection is a widely used surgical technique.
• Evaluating novel devices like the Shang Ring is crucial for improving surgical outcomes.

Purpose of the Study:

• To compare the safety and efficacy of Shang Ring circumcision versus conventional sleeve resection.
• To assess operative time, pain, blood loss, complications, healing, and costs.
• To determine the suitability of Shang Ring for wider adoption.

Main Methods:

• A randomized study comparing Shang Ring and sleeve resection circumcision.
• Data collected on 479 Shang Ring and 354 sleeve resection cases.
• Key outcomes measured included operative time, pain, blood loss, complications, wound healing, and costs.

Main Results:

• Shang Ring group had shorter operative time, less blood loss, and lower intraoperative pain (p <0.05).
• Shang Ring demonstrated a significantly lower complication rate (6.89% vs 13.28%, p = 0.002).
• Wound healing time was longer for Shang Ring (19.86 days) compared to sleeve resection (13.42 days, p <0.001).

Conclusions:

• Shang Ring male circumcision is safe and effective, with a low complication rate and high patient satisfaction.
• The method is recommended for popularization, particularly in resource-limited settings.
• Further research may explore optimizing wound healing protocols for the Shang Ring.