Choosing the appropriate ShangRing size for paediatric circumcision using the no-flip technique

Area of Science:

• Urology
• Pediatric Surgery

Background:

• ShangRing circumcision is a common procedure for pediatric foreskin removal.
• Determining the optimal ShangRing size is essential for successful outcomes and minimizing complications.

Purpose of the Study:

• To evaluate different methods for selecting the correct ShangRing size in pediatric circumcision using the no-flip technique.
• To identify the sizing method that maximizes patient satisfaction and minimizes adverse events.

Main Methods:

• A cohort of 104 boys (ages 6-14) underwent ShangRing circumcision.
• Patients were randomized into three groups based on ring size selection: measuring tape (Group A), penis diameter (Group B), or glans diameter (Group C).
• Surgical outcomes, pain scores, complication rates, and satisfaction were compared across groups.

Main Results:

• Group A (tape measure) showed the highest rates of dorsal slit and longest surgical time.
• Post-surgery edema and foreskin asymmetry were most frequent in Group A (40.62% and 21.88%).
• Group C (glans diameter) achieved the highest satisfaction rate (97.14%), significantly higher than Group A (75.00%).

Conclusions:

• Selecting ShangRing size based on glans diameter is recommended for pediatric circumcision with the no-flip technique.
• This method is associated with improved patient satisfaction and reduced complications like edema and asymmetry.
• Accurate sizing is critical for optimizing outcomes in pediatric ShangRing procedures.