PMID- 29566320
OWN - NLM
STAT- MEDLINE
DCOM- 20190128
LR  - 20191113
IS  - 1118-4841 (Print)
IS  - 1118-4841 (Linking)
VI  - 20
IP  - 4
DP  - 2016 Dec
TI  - Prospective Observational Study of the ShangRing Device for Adult Medical Male 
      Circumcision in a Routine Clinical Setting in Malawi.
PG  - 60-66
AB  - We evaluated the safety and acceptability of the ShangRing device for male 
      circumcision during routine clinical service delivery in Namitete, Malawi. We 
      conducted a prospective observational study enrolling 500 HIV-negative men ages 
      18 to 49 years at St. Gabriel's Hospital. Participants returned for two follow-up 
      visits: the removal visit (day 7 after placement) and the healing check visit 
      (day 42 after placement). We assessed pain, adverse events (AEs), acceptability, 
      and healing. 500 men were screened; 498 were circumcised using the ShangRing and 
      comprised the analysis population. Seven participants (1.4%) experienced moderate 
      AEs related to circumcision. 93% were judged to be completely healed at or before 
      the day 42 visit; 6% were judged to be healed later than the day 42 visit; 5 
      participants (1.0%) were lost to follow-up. 98% of men stated they were very 
      satisfied with the appearance of their circumcised penis, and 99.6% would 
      recommend ShangRing circumcision to family/friends. Adult male circumcision using 
      the ShangRing was safe with a low AE rate at this service delivery site. 
      Acceptability factors were also favorable. Addition of the ShangRing device could 
      be beneficial to achieving the goals of the circumcision program in Malawi.
FAU - Feldblum, Paul J
AU  - Feldblum PJ
AD  - FHI 360, Durham, North Carolina, USA.
FAU - Mwambula, Chikondi
AU  - Mwambula C
AD  - St. Gabriel's Hospital, Namitete, Malawi.
FAU - Selemani, Monija
AU  - Selemani M
AD  - St. Gabriel's Hospital, Namitete, Malawi.
FAU - Long, Sarah
AU  - Long S
AD  - FHI 360, Durham, North Carolina, USA.
FAU - Telela, Dyson James
AU  - Telela DJ
AD  - Christian Health Association of Malawi (CHAM), Lilongwe, Malawi.
FAU - Mwenyekonde, Elled
AU  - Mwenyekonde E
AD  - Christian Health Association of Malawi (CHAM), Lilongwe, Malawi.
FAU - Lai, Jaim Jou
AU  - Lai JJ
AD  - FHI 360, Durham, North Carolina, USA.
FAU - Veena, Valentine
AU  - Veena V
AD  - FHI 360, Nairobi, Kenya.
FAU - Mbeya, Phyela
AU  - Mbeya P
AD  - St. Gabriel's Hospital, Namitete, Malawi.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - Nigeria
TA  - Afr J Reprod Health
JT  - African journal of reproductive health
JID - 9712263
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Circumcision, Male/adverse effects/*instrumentation/statistics & numerical data
MH  - *Equipment and Supplies/adverse effects/standards
MH  - *Hospitals/statistics & numerical data
MH  - Humans
MH  - Malawi/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Patient Acceptance of Health Care/statistics & numerical data
MH  - Patient Satisfaction/statistics & numerical data
MH  - Wound Healing/physiology
MH  - Young Adult
OTO - NOTNLM
OT  - Malawi
OT  - ShangRing device
OT  - male circumcision
OT  - safety
EDAT- 2016/12/01 00:00
MHDA- 2019/01/29 06:00
CRDT- 2018/03/23 06:00
PHST- 2018/03/23 06:00 [entrez]
PHST- 2016/12/01 00:00 [pubmed]
PHST- 2019/01/29 06:00 [medline]
AID - 10.29063/ajrh2016/v20i4.6 [doi]
PST - ppublish
SO  - Afr J Reprod Health. 2016 Dec;20(4):60-66. doi: 10.29063/ajrh2016/v20i4.6.