PMID- 26585694
OWN - NLM
STAT- MEDLINE
DCOM- 20170313
LR  - 20181113
IS  - 1745-7262 (Electronic)
IS  - 1008-682X (Print)
IS  - 1008-682X (Linking)
VI  - 18
IP  - 5
DP  - 2016 Sep-Oct
TI  - Circumcision with "no-flip Shang Ring" and "Dorsal Slit" methods for adult males: 
      a single-centered, prospective, clinical study.
PG  - 798-802
LID - 10.4103/1008-682X.157544 [doi]
AB  - 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.
FAU - Lei, Jun-Hao
AU  - Lei JH
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Liu, Liang-Ren
AU  - Liu LR
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Wei, Qiang
AU  - Wei Q
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Xue, Wen-Ben
AU  - Xue WB
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Song, Tu-Run
AU  - Song TR
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Yan, Shi-Bing
AU  - Yan SB
AD  - Department of Urology, Dujiangyan Medical Center/The Affiliated Hospital of 
      Chengdu University, Dujiangyan, China.
FAU - Yang, Lu
AU  - Yang L
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Han, Ping
AU  - Han P
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
FAU - Zhu, Yu-Chun
AU  - Zhu YC
AD  - Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PL  - China
TA  - Asian J Androl
JT  - Asian journal of andrology
JID - 100942132
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Circumcision, Male/adverse effects/*instrumentation
MH  - Edema/*etiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Phimosis/*surgery
MH  - Postoperative Complications
MH  - Postoperative Period
MH  - Prospective Studies
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC5000807
EDAT- 2015/11/21 06:00
MHDA- 2017/03/14 06:00
PMCR- 2016/09/01
CRDT- 2015/11/21 06:00
PHST- 2015/11/21 06:00 [entrez]
PHST- 2015/11/21 06:00 [pubmed]
PHST- 2017/03/14 06:00 [medline]
PHST- 2016/09/01 00:00 [pmc-release]
AID - 157544 [pii]
AID - AJA-18-798 [pii]
AID - 10.4103/1008-682X.157544 [doi]
PST - ppublish
SO  - Asian J Androl. 2016 Sep-Oct;18(5):798-802. doi: 10.4103/1008-682X.157544.